STEVEN G SPELLMAN MD
NPI 1316911290
Ophthalmology in Newport News, VA

Q: What is Steven Spellman's NPI number?

The NPI number for Steven Spellman is 1316911290. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Steven Spellman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Steven Spellman was last updated on May 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

12420 WARWICK BLVD, BLDG. 1, SUITE D, NEWPORT NEWS, VA 23606(757) 599-0700(757) 594-5207 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Steven G Spellman Md NPPES

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

STEVEN G SPELLMAN MD (NPI 1316911290) is an individual ophthalmology provider in Newport News, Virginia, licensed in Virginia (0101039353) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1982).

NPPES Registry Identity

NPI1316911290

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameSTEVEN G SPELLMANCredential: MD

Location Address12420 WARWICK BLVD, BLDG. 1, SUITE DNewport News, VA 23606-3001

Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190

Phone(757) 599-0700

Fax(757) 594-5207

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1982

Enumeration DateFebruary 15, 2006

Last NPPES UpdateMay 17, 2011

✔ NPI 1316911290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101039353

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

12420 WARWICK BLVD, Newport News, VA 23606

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Other Identifiers 4

Medicare UPINB06481

Medicare PIN00X550R01VA

Medicaid1316911290VA

Medicare PIN180030614VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Steven G Spellman 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 ID8426138652

PECOS Enrollment IDI20071231000177

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 16

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,377 services1,364 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

396 services299 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

296 services270 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

212 services57 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

182 services118 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

159 services105 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

84 services79 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

70 services69 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

62 services57 patients

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.

60 services60 patients

Removal of eyelashes 67825

Removal of eyelashes, also known as eyelash epilation, is a procedure often performed to treat conditions such as trichiasis, where eyelashes grow abnormally and cause discomfort or harm to the eye. It involves carefully removing the problem lashes to alleviate symptoms and protect the eye.

49 services16 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.

46 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

21 services20 patients

Removal of chronic growth of eyelid 67800

The removal of a chronic growth on the eyelid is a procedure performed to eliminate persistent, non-cancerous lumps. It involves a minor surgical process where the growth is carefully excised. This helps to improve eyelid function, comfort, and appearance.

11 services11 patients

Insertion of probe into nasal tear duct 68810

The insertion of a probe into the nasal tear duct is a procedure done to clear blockages in the tear duct. This helps restore normal tear drainage, preventing excessive tearing or infection. A thin, flexible instrument is gently inserted into the duct to open it up. It's a quick, usually painless process.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490052

Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.65

Promoting Interoperability

95.83

Improvement Activities

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.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier30 claims30 services$50.05 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier13 claims19 services$55.87 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims16 services$60.06 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 20

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

MRS. LEE KELLY BOWDITCH L.P.C.

Counselor (Mental Health)

12420 WARWICK BLVD, BLDG. 7 SUITE C
NEWPORT NEWS, VA 23606

Newport News City (757) 595-3900

RIVERSIDE HOSPITAL INC

Internal Medicine (Infectious Disease)

12420 WARWICK BLVD, BLDG. 3 SUITE 4A
NEWPORT NEWS, VA 23606

Newport News City (757) 534-5509

JOHN FREDERICK FRANTZ II MD

Ophthalmology

12420 WARWICK BLVD, SUITE 1D
NEWPORT NEWS, VA 23606

Newport News City (757) 599-0700

RIVERSIDE PHYSICIAN SERVICES INC

Ophthalmology

12420 WARWICK BLVD, SUITE 1D
NEWPORT NEWS, VA 23606

Newport News City (757) 599-0700

MARK E SOUTHER MD

Internal Medicine

12420 WARWICK BLVD, BLDG. 3 SUITE 4A
NEWPORT NEWS, VA 23606

Newport News City (757) 594-4431

WARWICK DENTAL CENTER, PLLC

Dentist (General Practice)

12420 WARWICK BLVD, 1A
NEWPORT NEWS, VA 23606

Newport News City (757) 595-6224

JEFFREY EMMITT HARRIS M.D.

Internal Medicine (Infectious Disease)

12420 WARWICK BLVD, SUITE 4C
NEWPORT NEWS, VA 23606

Newport News City (757) 596-7115

ILENE FORREST STEPHAN M.D.

Internal Medicine

12420 WARWICK BLVD, BUILDING 3, SUITE 4A
NEWPORT NEWS, VA 23606

Newport News City (757) 594-4431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Spellman's NPI number?

The NPI number for Steven Spellman is 1316911290. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Steven Spellman located?

Steven Spellman practices at 12420 Warwick Blvd Bldg. 1, Suite D, Newport News, VA 23606. The listed phone number is (757) 599-0700.

What is Steven Spellman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Steven Spellman enrolled in Medicare?

Yes. Steven Spellman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Steven Spellman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Steven Spellman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Steven Spellman affiliated with any hospitals?

According to CMS data, Steven Spellman is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Spellman was last updated on May 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.