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DR. STEPHEN DUANE SPALDING MD
NPI 1316972052
Psychiatry & Neurology - Psychiatry in Chattanooga, TN

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
801 N HOLTZCLAW AVE, CHATTANOOGA, TN 37404(423) 697-5950(615) 743-1679 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Duane Spalding Md NPPES

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

DR. STEPHEN DUANE SPALDING MD (NPI 1316972052) is an individual psychiatry provider in Chattanooga, Tennessee, licensed in Tennessee (MD0000025721) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1316972052
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. STEPHEN DUANE SPALDINGCredential: MD
Location Address801 N HOLTZCLAW AVEChattanooga, TN 37404-1236
Mailing Address275 Cumberland BndNashville, TN 37228-1805 · (615) 726-3340 · Fax (615) 743-1679
Phone(423) 697-5950
Fax(615) 743-1679
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 26, 2016
✔ NPI 1316972052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · MD0000025721
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
801 N HOLTZCLAW AVE, Chattanooga, TN 37404
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Other Identifiers 1

Medicare PIN103I267201TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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. Stephen Duane Spalding 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 ID3971502311
PECOS Enrollment IDI20090603000503
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

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.
65 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 4

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

TENESHA DOUGLAS-THOMAS LPC/MHSP, NCC
Counselor (Mental Health)
801 N HOLTZCLAW AVE, SUITE 101
CHATTANOOGA, TN 37404
Hamilton County (615) 743-1571
KATYBETH C ELLER LPCMHSP
Counselor (Professional)
801 N HOLTZCLAW AVE, SUITE 101
CHATTANOOGA, TN 37404
Hamilton County (423) 209-7091
CAITLIN MOORE MERRITT LPC/MHSP, M.ED., NCC
Counselor (Professional)
801 N HOLTZCLAW AVE, STE 101
CHATTANOOGA, TN 37404
Hamilton County (866) 816-0433
KEITH NILSEN MS, LPC, MHSP, NCC
Counselor (Professional)
801 N HOLTZCLAW AVE
CHATTANOOGA, TN 37404
Hamilton County (423) 697-5985

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 Stephen Spalding's NPI number?

The NPI number for Stephen Spalding is 1316972052. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Stephen Spalding located?

Stephen Spalding practices at 801 N Holtzclaw Ave, Chattanooga, TN 37404. The listed phone number is (423) 697-5950.

What is Stephen Spalding's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stephen Spalding enrolled in Medicare?

Yes. Stephen Spalding 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 Stephen Spalding accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Stephen Spalding 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.

When was this NPI record last updated?

The NPPES record for Stephen Spalding was last updated on April 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.