LORI DIANE SPISAK MD
NPI 1275559163
Obstetrics & Gynecology in Goldsboro, NC

Q: What is Lori Spisak's NPI number?

The NPI number for Lori Spisak is 1275559163. It was assigned to this individual provider in the NPPES registry on July 14, 2006. The provider is also known as Lori D Wylie.

Q: What is Lori Spisak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Spisak was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

102 HANDLEY PARK CT, GOLDSBORO, NC 27534(919) 734-3344(919) 735-3025 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2025, Oct 26, 2022 (2 updates tracked since 2022).

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About Lori Diane Spisak Md NPPES

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

LORI DIANE SPISAK MD (NPI 1275559163) is an individual obstetrics & gynecology provider in Goldsboro, North Carolina, licensed in North Carolina (2022-00284) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and maintains a secondary practice location in Goldsboro.

NPPES Registry Identity

NPI1275559163

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLORI DIANE SPISAKCredential: MD

Location Address102 HANDLEY PARK CTGoldsboro, NC 27534-1768

Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490

Phone(919) 734-3344

Fax(919) 735-3025

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2001

Enumeration DateJuly 14, 2006

Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1275559163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NC · 2022-00284✔ Licensed in MI · 4301077897

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

102 HANDLEY PARK CT, Goldsboro, NC 27534

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Other Names 1

Former Name (1)Lori D Wylie

Secondary Practice Location 1

Location 12400 Wayne Memorial Dr Ste IGoldsboro, NC 27534-1749 · Phone (919) 587-3980 · Fax (919) 587-3981

Other Identifiers 3

Other700G410560MI · Blue Cross

Other160G360190Bcbsm Group Pin

Other156058Great Lakes Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Diane Spisak Md 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 ID9638176878

PECOS Enrollment IDI20220822000522

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.

Medicare Billing Reassignments

Medicare enrollment records show Lori Spisak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unc Physicians Network, LLC

34 mi

Family Medicine

403 FAIRVIEW ST
Clinton, NC 28328

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1164793576 (910) 592-6011

Uwh Of The Carolinas, PLLC

58 mi

Obstetrics & Gynecology

200 PERIMETER PARK DR STE B
Morrisville, NC 27560

Reassigned Medicare billing, North Carolina enrollment
413 clinicians in this Medicare group

NPI 1639506470 (919) 334-0150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340010

Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

81%138 patients4/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

89%472 patients

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

55%147 patients3/55-star benchmark: 85%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

97%1,892 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%144 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

69%1,016 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

39%564 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 496 patients

Patients tobacco: 17% · 48 patients

84%496 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

91%1,016 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

44%1,016 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

53%1,016 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

KATLYN E RHODES PA-C

Physician Assistant