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STEVEN SCOTT SPIVAK DPM
NPI 1376509463
Podiatrist in Lumberton, NJ

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
41/100
CMS Quality Rating
1561 4 ROUTE 38, LUMBERTON, NJ 08048(609) 261-2223(609) 702-1111 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Steven Scott Spivak Dpm NPPES

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

STEVEN SCOTT SPIVAK DPM (NPI 1376509463) is an individual podiatrist in Lumberton, New Jersey, licensed in New Jersey (MD002658) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1376509463
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSTEVEN SCOTT SPIVAKCredential: DPM
Location Address1561 4 ROUTE 38Lumberton, NJ 08048
Mailing Address1561 4 Route 38Lumberton, NJ 08048 · (609) 261-2223 · Fax (609) 702-1111
Phone(609) 261-2223
Fax(609) 702-1111
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1999
Enumeration DateApril 26, 2006
Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1376509463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in NJ · MD002658✔ Licensed in PA · SC 004635 L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1561 4 ROUTE 38, Lumberton, NJ 08048
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Other Identifiers 1

Other544104Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 Scott Spivak Dpm 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 ID2466356522
PECOS Enrollment IDI20031121000112, I20031204000401
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 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
892 services258 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.
209 services90 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
65 services22 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
52 services15 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.
49 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08048 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability59
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%206 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
49%862 patients2/55-star benchmark: 100%
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.

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 Spivak's NPI number?

The NPI number for Steven Spivak is 1376509463. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Steven Spivak located?

Steven Spivak practices at 1561 4 Route 38, Lumberton, NJ 08048. The listed phone number is (609) 261-2223.

What is Steven Spivak's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Steven Spivak enrolled in Medicare?

Yes. Steven Spivak 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 Spivak accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Steven Spivak 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 Steven Spivak was last updated on December 14, 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.