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DR. CLAUDE H SPRINGFIELD IV M.D.
NPI 1821033911
Family Medicine in Apex, NC

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
1480 KELLY RD, APEX, NC 27502(919) 363-9363(919) 363-9961 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Claude H Springfield Iv M.d. NPPES

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

DR. CLAUDE H SPRINGFIELD IV M.D. (NPI 1821033911) is an individual family medicine provider in Apex, North Carolina, licensed in North Carolina (200100609) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of Mississippi School Of Medicine (1998).

NPPES Registry Identity

NPI1821033911
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLAUDE H SPRINGFIELD IVCredential: M.D.
Location Address1480 KELLY RDApex, NC 27502-9004
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Phone(919) 363-9363
Fax(919) 363-9961
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1998
Enumeration DateJune 20, 2006
Last NPPES UpdateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1821033911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 200100609
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.
1480 KELLY RD, Apex, NC 27502
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Other Identifiers 10

Other199800NC · Wellpath
Other2099489NC · Uhc
Other3883475NC · Cigna
OtherD1161NC · Medcost
Other1282CNC · Bcbs
Medicaid891282CNC
Other2670172NC · Aetna Hmo
Other7922274NC · Aetna Ppo
OtherP00402764NC · Medicare Railroad
Other2118531NC · Mamsi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Claude H Springfield Iv 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 ID7214828557
PECOS Enrollment IDI20040324000651
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.

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.
209 services142 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.
125 services96 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.
63 services63 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services45 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.
42 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers35 claims104 services$5.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims20 services$1.10 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers19 claims19 services$29.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$80.66 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$37.80 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers15 claims15 services$14.43 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 8

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

DR. MAGALLY PROSPER M.D.
Pediatrics
1480 KELLY RD
APEX, NC 27502
Wake County (919) 228-2423
MARGARET MARY WROBLESKI
Dietitian, Registered
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
ANDREW RAMON DE LA PAZ M.D.
Internal Medicine (Cardiovascular Disease)
1480 KELLY RD
APEX, NC 27502
Wake County (984) 974-4010
JILL A SCHAEFFER MD
Internal Medicine
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
MRS. HEATHER LILES JOYNER
Social Worker (Clinical)
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
CHELSEA NICOLE ASHFORD PA
Physician Assistant
1480 KELLY RD
APEX, NC 27502
Wake County (919) 228-2423
ALEXANDRA FRYE COVINGTON
Physician Assistant
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363
TENEISHA CECELIA DAVIS M.D.
Family Medicine
1480 KELLY RD
APEX, NC 27502
Wake County (919) 363-9363

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 Claude Springfield's NPI number?

The NPI number for Claude Springfield is 1821033911. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Claude Springfield located?

Claude Springfield practices at 1480 Kelly Rd, Apex, NC 27502. The listed phone number is (919) 363-9363.

What is Claude Springfield's specialty?

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

Is Claude Springfield enrolled in Medicare?

Yes. Claude Springfield 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 Claude Springfield accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Claude Springfield 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 Claude Springfield affiliated with any hospitals?

According to CMS data, Claude Springfield is affiliated with Unc Hospitals and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Claude Springfield was last updated on August 10, 2021. 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.