LUKE CLAYTON SPANGLER MD
NPI 1609367416
Family Medicine in Rock Hill, SC

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2960 CELANESE ROAD, ROCK HILL, SC 29732(803) 328-3828(803) 328-3879 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Jun 4, 2024, Jul 15, 2021 and 3 more (6 updates tracked since 2020).

About Luke Clayton Spangler Md NPPES

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

LUKE CLAYTON SPANGLER MD (NPI 1609367416) is an individual family medicine provider in Rock Hill, South Carolina, licensed in South Carolina (52443) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1609367416
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUKE CLAYTON SPANGLERCredential: MD
Location Address2960 CELANESE ROADRock Hill, SC 29732
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(803) 328-3879
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 29, 2018
Last NPPES UpdateJanuary 7, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1609367416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in SC · 52443 Licensed in SC · LL52443
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2960 CELANESE ROAD, Rock Hill, SC 29732

Secondary Practice Locations 4

Location 11435 Ebenezer RdRock Hill, SC 29732-2338 · Phone (803) 328-3828 · Fax (803) 328-3879
Location 23600 Forest Dr Ste 300Columbia, SC 29204-4057 · Phone (803) 933-3045
Location 3Family Medicine Center, 3209 Colonial DriveColumbia, SC 29203 · Phone (803) 434-6113 · Fax (803) 434-8478
Location 4109 Barton Creek CtColumbia, SC 29229-8027 · Phone (803) 256-2286 · Fax (803) 419-8430

Other Identifiers 1

Medicaid524436SC

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

Luke Clayton Spangler 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 ID7618229550
PECOS Enrollment IDI20200601000451
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 10

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.
168 services139 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
85 services74 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.
80 services72 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.
37 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$40.27 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 5

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

Family Medicine
2960 CELANESE ROAD
ROCK HILL, NC 29732
Family Medicine
2960 CELANESE ROAD
ROCK HILL, SC 29732
Family Medicine
2960 CELANESE ROAD
ROCK HILL, SC 29732
Family Medicine
2960 CELANESE ROAD
ROCK HILL, SC 29732
Family Medicine
2960 CELANESE ROAD
ROCK HILL, SC 29732

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 Luke Spangler's NPI number?

The NPI number for Luke Spangler is 1609367416. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Luke Spangler located?

Luke Spangler practices at 2960 Celanese Road, Rock Hill, SC 29732. The listed phone number is (803) 328-3828.

What is Luke Spangler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luke Spangler enrolled in Medicare?

Yes. Luke Spangler 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 Luke Spangler accept?

Health plans from Molina Healthcare list Luke Spangler 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 Luke Spangler affiliated with any hospitals?

According to CMS data, Luke Spangler is affiliated with Novant Health Presbyterian Medical Center and Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Luke Spangler was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.