DR. KREIG A. SPAHN D.O.
NPI 1265435689
Family Medicine in Morganton, NC

Q: What is Kreig Spahn's NPI number?

The NPI number for Kreig Spahn is 1265435689. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Kreig Spahn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kreig Spahn was last updated on April 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

301 LINVILLE ST, MORGANTON, NC 28655(828) 584-2481(828) 584-8371 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2018, Jun 9, 2017 (2 updates tracked since 2017).

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About Dr. Kreig A. Spahn D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KREIG A. SPAHN D.O. (NPI 1265435689) is an individual family medicine provider in Morganton, North Carolina, licensed in North Carolina (2015-02151) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Vidant Duplin Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1265435689

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KREIG A. SPAHNCredential: D.O.

Location Address301 LINVILLE STMorganton, NC 28655-7206

Mailing Address301 Linville StMorganton, NC 28655-7206 · (828) 584-2481 · Fax (828) 584-8371

Phone(828) 584-2481

Fax(828) 584-8371

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1990

Enumeration DateMay 31, 2005

Last NPPES UpdateApril 17, 20182 updates tracked since enumeration

✔ NPI 1265435689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2015-02151

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

301 LINVILLE ST, Morganton, NC 28655

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Other Identifiers 10

Other19GGVNC · Bcbsnc

Medicaid1265435689NC

Other205043PA · Upmc Health Plan

Other902542PA · Highmark Blue Cross Blue Shield

Other20020 FCNPA · Epsdt

Other4235190002PA · National Suppliers Clearinghouse

Other86049PA · Unison Health Plan

OtherF49170PA · Health America

Other251754199019PA · Medical Mutual Of Ohio

Medicaid0013982400001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kreig A. Spahn D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466517875

PECOS Enrollment IDI20160111000134

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

268 services131 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

176 services104 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

149 services90 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

96 services49 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

67 services67 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

24 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vidant Duplin Hospital

Acute Care Hospitals · Kenansville, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340120

Location401 N Main StKenansville, NC 28349 · Duplin County

Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson County

Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341324

Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers20 claims37 services$5.70 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$73.65 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL MILLER STEPHANIDES PA-C

Physician Assistant