Individual provider Active NPI

Leo Reuben Spector, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1639100506
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2006-00120 Issued in NC
Practice address
2001 Randolph Rd
Charlotte, NC 28207-1215
Phone
(704) 332-2000
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 86251 SC
Orthopaedic Surgery of the Spine Physician 207XS0117X 200600120 NC
Orthopaedic Surgery Physician 207X00000X 2006-00120 NC Primary

Addresses

Primary practice location

2001 Randolph Rd
Charlotte, NC 28207-1215

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000

Other identifiers 1

IdentifierTypeStateIssuer
5904037MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060815000065 NC Practitioner - Orthopedic Surgery 8022011907 Reassigns benefits to 2 organizations
I20210903000857 SC Practitioner - Orthopedic Surgery 8022011907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians

Practice addresses (Care Compare)

101 Delta Park Dr
Shelby, NC 28150-3575
Phone (704) 484-0606

10315 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 323-2800

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282

2001 Randolph Rd
Charlotte, NC 28207-1215
Phone (704) 332-2225

2001 Vail Ave
Suite 200
Charlotte, NC 28207-1219
Phone (704) 323-2000

214 18TH St SE
Hickory, NC 28602-1363
Phone (704) 323-2276

2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 313-3294

5935 Carnegie Blvd
Suite 104
Charlotte, NC 28209-4672
Phone (704) 323-2500

601 Sutton Rd S
Fort Mill, SC 29715-8439
Phone (803) 328-6306

710 Park Ctr Dr
Matthews, NC 28105-5081
Phone (704) 323-3200

870 Summit Crossing PL
Gastonia, NC 28054-2192
Phone (704) 867-2333

9848 N Tryon St
Charlotte, NC 28262-5512
Phone (704) 323-2100

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion46
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00120NCMDOrthopaedic Surgery Physician
200600120NCMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Aug 1, 2006 Accepting new patients
Carolinas Medical Center CurrentSince Mar 1, 2011 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Aug 27, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Mar 1, 2011 Accepting new patients
Orthocarolina, PA Orthopaedic Surgery CurrentSince Aug 1, 2006 Accepting new patients
Orthocarolina Orthopaedic Surgery Past Accepting new patients

Locations

2001 Randolph Rd
Charlotte, NC 28207
Phone (704) 323-2225

5935 Carnegie Blvd
Ste 200
Charlotte, NC 28209

15825 Ballantyne Medical Pl
Ste 100
Charlotte, NC 28277
Phone (704) 323-3400

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

710 Park Center Dr
Matthews, NC 28105
Phone (704) 323-3208

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1639100506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071215",
            "telephone_number": "704-332-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "LEO",
        "middle_name": "REUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "86251",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "200600120",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2006-00120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.