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JAMES C SPILLER DO
NPI 1750356960
Internal Medicine in Newport News, VA

Active since February 21, 2006PECOS Enrolled
94.07/100
CMS Quality Rating
12420 WARWICK BLVD, BLDG 3 SUITE 4A, NEWPORT NEWS, VA 23606(757) 594-4431(757) 594-2936 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James C Spiller Do NPPES

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

JAMES C SPILLER DO (NPI 1750356960) is an individual internal medicine provider in Newport News, Virginia, licensed in Virginia (0102037108) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750356960
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES C SPILLERCredential: DO
Location Address12420 WARWICK BLVD, BLDG 3 SUITE 4ANewport News, VA 23606-3001
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190
Phone(757) 594-4431
Fax(757) 594-2936
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMay 17, 2011
✔ NPI 1750356960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0102037108
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12420 WARWICK BLVD, Newport News, VA 23606
Open in Google Maps ↗

Other Identifiers 4

Medicaid1750356960VA
Medicare PIN015467R53VA
Medicare UPINE90200VA
Medicare PIN110209845VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James C Spiller Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Spiller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Physician Services, Inc.
0.6 mi
Emergency Medicine
500 J CLYDE MORRIS BLVD
Newport News, VA 23601
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1487771655 (757) 594-4006

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.

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.
76 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services11 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$68.32 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 20

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

MRS. LEE KELLY BOWDITCH L.P.C.
Counselor (Mental Health)
12420 WARWICK BLVD, BLDG. 7 SUITE C
NEWPORT NEWS, VA 23606
Newport News City (757) 595-3900
RIVERSIDE HOSPITAL INC
Internal Medicine (Infectious Disease)
12420 WARWICK BLVD, BLDG. 3 SUITE 4A
NEWPORT NEWS, VA 23606
Newport News City (757) 534-5509
JOHN FREDERICK FRANTZ II MD
Ophthalmology
12420 WARWICK BLVD, SUITE 1D
NEWPORT NEWS, VA 23606
Newport News City (757) 599-0700
RIVERSIDE PHYSICIAN SERVICES INC
Ophthalmology
12420 WARWICK BLVD, SUITE 1D
NEWPORT NEWS, VA 23606
Newport News City (757) 599-0700
MARK E SOUTHER MD
Internal Medicine
12420 WARWICK BLVD, BLDG. 3 SUITE 4A
NEWPORT NEWS, VA 23606
Newport News City (757) 594-4431
WARWICK DENTAL CENTER, PLLC
Dentist (General Practice)
12420 WARWICK BLVD, 1A
NEWPORT NEWS, VA 23606
Newport News City (757) 595-6224
JEFFREY EMMITT HARRIS M.D.
Internal Medicine (Infectious Disease)
12420 WARWICK BLVD, SUITE 4C
NEWPORT NEWS, VA 23606
Newport News City (757) 596-7115
ILENE FORREST STEPHAN M.D.
Internal Medicine
12420 WARWICK BLVD, BUILDING 3, SUITE 4A
NEWPORT NEWS, VA 23606
Newport News City (757) 594-4431

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 James Spiller's NPI number?

The NPI number for James Spiller is 1750356960. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is James Spiller located?

James Spiller practices at 12420 Warwick Blvd Bldg 3 Suite 4A, Newport News, VA 23606. The listed phone number is (757) 594-4431.

What is James Spiller's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Spiller enrolled in Medicare?

Yes. James Spiller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Spiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Spiller reassigns Medicare benefits to Riverside Physician Services, Inc. (Newport News, VA). 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 James Spiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Spiller was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.