DR. STEVEN JAMES SPIVEY M.D.
NPI 1659634061
Family Medicine in Lexington, NC
About Dr. Steven James Spivey M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEVEN JAMES SPIVEY M.D. (NPI 1659634061) is an individual family medicine provider in Lexington, North Carolina, licensed in North Carolina (2015-00331) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Steven James Spivey 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.
Medicare Billing Reassignment
Medicare enrollment records show Steven Spivey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCLexington Memorial Hospital Inc
Acute Care Hospitals · Lexington, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, NC 27292
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 Spivey's NPI number?
The NPI number for Steven Spivey is 1659634061. It was assigned to this individual provider in the NPPES registry on June 20, 2012.
Where is Steven Spivey located?
Steven Spivey practices at 13 Medical Park Dr, Lexington, NC 27292. The listed phone number is (336) 243-8615.
What is Steven Spivey's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Steven Spivey enrolled in Medicare?
Yes. Steven Spivey 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.
Which organization bills Medicare for Steven Spivey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Spivey reassigns Medicare benefits to Wake Forest University Health Sciences (Lexington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Spivey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Spivey accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Steven Spivey 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 Spivey affiliated with any hospitals?
According to CMS data, Steven Spivey is affiliated with North Carolina Baptist Hospital and Lexington Memorial Hospital Inc.
When was this NPI record last updated?
The NPPES record for Steven Spivey was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Steven James Spivey, M.D. · NPI 1659634061
Family Medicine physician in Lexington, North Carolina. Individual provider, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1659634061 (Entity type: Individual)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2015-00331 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 13 MEDICAL PARK DR, Lexington, NC 27292-6768
- **Phone:** (336) 243-8615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1659634061) · Data from the CMS NPPES public registry.