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DR. STEPHEN X SKAPEK MD
NPI 1952304529
Pediatrics - Pediatric Hematology-Oncology in Durham, NC

Active since May 27, 2005PECOS Enrolled
74.59/100
CMS Quality Rating
2301 ERWIN RD, DURHAM, NC 27705(919) 684-3401(919) 681-7950 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stephen X Skapek Md NPPES

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

DR. STEPHEN X SKAPEK MD (NPI 1952304529) is an individual pediatric hematology-oncology provider in Durham, North Carolina, licensed in North Carolina (2024-00657) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1952304529
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. STEPHEN X SKAPEKCredential: MD
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing AddressDumc Box 102382Durham, NC 27710-0001 · (919) 684-3401 · Fax (919) 681-7950
Phone(919) 684-3401
Fax(919) 681-7950
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1952304529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in NC · 2024-00657✔ Licensed in TN · 31199
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
2301 ERWIN RD, Durham, NC 27705
Open in Google Maps ↗

Secondary Practice Location 1

Location 1University Of Texas Southwestern Medical Ctr, 5323 Harry Hines BlvdDallas, TX 75390-9063 · Phone (214) 648-3081 · Fax (214) 648-3122

Other Identifiers 18

Medicaid136342001AR
Medicaid1558061LA
Medicaid715419AZ
Medicaid2612944OH
Medicaid6700179VA
Medicaid0076112NJ
Medicaid0527903IA
Medicaid060514901TX
Medicaid100049610AOK
MedicaidQ31199SC
Medicaid205030000MO
Medicaid009913010AL
Medicaid104699550MI
Medicaid422400000ME
Medicaid1141236 00WY
Medicaid7613394NC
Medicaid00120392MS
Medicaid3838358TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen X Skapek Md 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 Stephen Skapek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
0.3 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

DR. HONGYUN JUNE ZHU M.D.
Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
WILBUR RIGEL DATTILO M.D.
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. SHARON MCCARTNEY M.D.
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-3811
DR. JOEL GARRY MORASH M.D.
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
REBEKAH DOIRON
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. YURIY ZEYLIKMAN M.D.
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
ELIZABETH HOPE WEISSLER
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111
DR. ANGEL GUERRERO MD
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-8111

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 Stephen Skapek's NPI number?

The NPI number for Stephen Skapek is 1952304529. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Stephen Skapek located?

Stephen Skapek practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-3401.

What is Stephen Skapek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Stephen Skapek enrolled in Medicare?

Yes. Stephen Skapek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Skapek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Skapek reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, 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 Stephen Skapek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Skapek accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Stephen Skapek 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 Stephen Skapek was last updated on May 24, 2024. 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.