DR. HEATHER GREENSPAN M.D.
NPI 1346561990
Psychiatry & Neurology - Psychiatry in Durham, NC

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2213 ELBA ST, DURHAM, NC 27705(404) 778-5000 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Heather Greenspan M.d. NPPES

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

DR. HEATHER GREENSPAN M.D. (NPI 1346561990) is an individual psychiatry provider in Durham, North Carolina, licensed in North Carolina (2020-02040) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1346561990
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. HEATHER GREENSPANCredential: M.D.
Location Address2213 ELBA STDurham, NC 27705-3934
Mailing Address2213 Elba StDurham, NC 27705-3934
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 17, 2010
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1346561990 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 NC · 2020-02040
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.
2213 ELBA ST, Durham, NC 27705

Accepted 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. Heather Greenspan M.d. 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 ID1355622937
PECOS Enrollment IDI20230817002909
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 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.
17 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
2213 ELBA ST
DURHAM, NC 27705
Internal Medicine
2213 ELBA ST
DURHAM, NC 27705
Nurse Practitioner (Psychiatric/Mental Health)
2213 ELBA ST
DURHAM, NC 27705
Psychologist (Clinical)
2213 ELBA ST
DURHAM, NC 27705
Counselor (Professional)
2213 ELBA ST
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2213 ELBA ST
DURHAM, NC 27705
Psychologist (Clinical)
2213 ELBA ST
DURHAM, NC 27705
Psychologist (Clinical)
2213 ELBA ST, DUKE UNIVERSITY MEDICAL CENTER, BOX 3026
DURHAM, NC 27705

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 Heather Greenspan's NPI number?

The NPI number for Heather Greenspan is 1346561990. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Heather Greenspan located?

Heather Greenspan practices at 2213 Elba St, Durham, NC 27705. The listed phone number is (404) 778-5000.

What is Heather Greenspan's specialty?

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

Is Heather Greenspan enrolled in Medicare?

Yes. Heather Greenspan 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 Heather Greenspan accept?

Health plans from Blue Cross and Blue Shield of NC list Heather Greenspan 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 Heather Greenspan affiliated with any hospitals?

According to CMS data, Heather Greenspan is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Heather Greenspan was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.