THERESA SPIVEY MD
NPI 1982108445
Pathology - Anatomic Pathology & Clinical Pathology in Miami, FL

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
1120 NW 14TH ST FL 14, MIAMI, FL 33136(305) 243-7284 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Jun 10, 2024, Mar 20, 2018 (3 updates tracked since 2018).

About Theresa Spivey Md NPPES

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

THERESA SPIVEY MD (NPI 1982108445) is an individual anatomic pathology & clinical pathology provider in Miami, Florida, licensed in Florida (ME167865) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982108445
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameTHERESA SPIVEYCredential: MD
Location Address1120 NW 14TH ST FL 14Miami, FL 33136-2107
Mailing Address1120 Nw 14th St Fl 14Miami, FL 33136-2107 · (305) 243-7284
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2018
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1982108445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in FL · ME167865
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1120 NW 14TH ST FL 14, Miami, FL 33136

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

Theresa Spivey 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 ID9234675844
PECOS Enrollment IDI20240719000032
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 19

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
111 services23 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
70 services14 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
55 services52 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
45 services24 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
41 services20 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
37 services32 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES 2

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

Pathology (Anatomic Pathology)
1120 NW 14TH ST FL 14
MIAMI, FL 33136
Psychologist (Clinical Child & Adolescent)
1120 NW 14TH ST FL 14
MIAMI, FL 33136

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 Theresa Spivey's NPI number?

The NPI number for Theresa Spivey is 1982108445. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Theresa Spivey located?

Theresa Spivey practices at 1120 NW 14th St Fl 14, Miami, FL 33136. The listed phone number is (305) 243-7284.

What is Theresa Spivey's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Theresa Spivey enrolled in Medicare?

Yes. Theresa 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.

What insurance does Theresa Spivey accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Theresa 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 Theresa Spivey affiliated with any hospitals?

According to CMS data, Theresa Spivey is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Theresa Spivey was last updated on August 5, 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.