Jerome J. Federspiel, MD, PhD
Maternal-Fetal Medicine Specialist
My Locations
About Me
I specialize in caring for pregnancies involving maternal or fetal conditions. While I enjoy caring for patients with a broad range of concerns, much of my work centers on caring for patients who are planning pregnancy or who are pregnant while living with heart conditions or blood disorders. I enjoy building relationships with my patients during pregnancy and helping ensure safe and healthy births. Every day, I am reminded how lucky I am to work among so many talented colleagues at Duke Health. One of the best parts of my job is seeing how teamwork and planning can make our patients' birth experiences positive and memorable, even when a pregnancy is considered "high risk".
- Assistant Professor of Obstetrics and Gynecology, Obstetrics and Gynecology, Maternal Fetal Medicine 2022
- Assistant Professor in Medicine, Medicine, Hematology 2024
- Assistant Professor in Population Health Sciences, Population Health Sciences 2023
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Ratings and Reviews
The ratings and reviews are based on patient responses to the overall provider rating question from the survey. The question reads: “Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider?” Responses are converted to a 5-point rating system and applied consistently to all providers. Learn more about our survey process. Patients who see some types of providers receive a different version of the patient satisfaction survey. Those results are not available on DukeHealth.org.
Training and Education
In the News
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Clinical Focus and Research
I perform research in heart and bleeding complications occurring to pregnant people in order to identify how to take even better care of our patients who have complex care needs.
- Advancing Reproductive Rheumatology through Research Mentoring awarded by National Institutes of Health 2024 - 2029
- Federspiel, Jerome J., Virginia Y. Watkins, Sarah C. Snow, Cary C. Ward, Toi N. Spates, Oluwatoyosi A. Onwuemene, Marie-Louise Meng, and Thomas L. Ortel. “Pregnancy anticoagulation management in a patient with a mechanical heart valve and heparin induced thrombocytopenia.” Journal of Cardiothoracic and Vascular Anesthesia, May 2025. https://doi.org/10.1053/j.jvca.2025.05.005.
- Schwalb, Allison M., Jerome J. Federspiel, Sarah Dotters-Katz, Jeffrey A. Kuller, and Ronan P. Sugrue. “Rhesus D Prophylaxis: When and Why We Give Rhesus D Immunoglobulin.” Obstetrical & Gynecological Survey 80, no. 5 (May 2025): 315–24. https://doi.org/10.1097/ogx.0000000000001391.
- Clowse, Megan E. B., Jerome J. Federspiel, Sarahn Wheeler, Catherine A. Sims, Teresa Swezey, Amy Corneli, Kevin McKenna, et al. “Moving the ACR's Reproductive Health Guidelines Into Practice: A Quantitative and Qualitative Assessment of a Novel Reproductive Rheumatology ECHO.” J Clin Rheumatol, April 23, 2025. https://doi.org/10.1097/RHU.0000000000002222.
- James, Andra, and Jerome Federspiel. “Inherited Thrombophilias.” In Protocols for High-Risk Pregnancies, edited by Charles Lockwood and Catherine Spong, 2020.
- Federspiel, Jerome, and J. S. Sheffield. “Prenatal Complications.” In The Johns Hopkins Manual of Gynecology and Obstetrics, 2020.
- Watkins, Virginia Y., Mira L. Estin, Amanda M. Craig, Sarah K. Dotters-Katz, and Jerome J. Federspiel. “Hereditary Hemorrhagic Telangiectasia: Pregnancy and Delivery-Specific Considerations and Outcomes.” In Am J Perinatol, 42:564–71, 2025. https://doi.org/10.1055/a-2419-9036.
- Watkins, Virginia Y., Mira L. Estin, Amanda M. Craig, Sarah K. Dotters-Katz, and Jerome J. Federspiel. “Hereditary Hemorrhagic Telangiectasia: Pregnancy and Delivery-Specific Considerations and Outcomes.” In Am J Perinatol, 42:564–71, 2025. https://doi.org/10.1055/a-2419-9036.
- Santoli, Carmen M. A., Shakthi Unnithan, Tracy Truong, Sarah K. Dotters-Katz, and Jerome J. Federspiel. “Maternal morbidity in postpartum severe preeclampsia by obstetric delivery volume.” In Am J Obstet Gynecol MFM, 6:101500, 2024. https://doi.org/10.1016/j.ajogmf.2024.101500.
Insurance Accepted
Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below.
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Aetna
- Aetna Choice POS, Aetna Choice POS II
- Aetna Elect Choice HMO, Aetna Open Access Elect Choice
- Aetna Health Network Only, Aetna Health Network Option
- Aetna HMO
- Aetna Limited Benefit Insurance PPO
- Aetna Managed Choice POS
- Aetna Medicare Assure Plan (HMO D-SNP)
- Aetna Medicare Eagle Plan (PPO)
- Aetna Medicare Essential Plan (PPO)
- Aetna Medicare Value Plan (HMO)
- Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice
- Aetna Open Choice PPO
- Aetna PCP Coordinated POS Plan
- Aetna Quality Point of Service (QPOS)
- Aetna Select HMO
- Aetna Traditional Choice
- Aetna Voluntary Indemnity Group Plan
- Aetna Whole Health – Duke WakeMed WKCC
- Aetna/CVS Health
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Ambetter
- Ambetter of North Carolina
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Blue Cross Blue Shield of NC
- Blue Advantage
- Blue Medicare (HMO, PPO)*
- Blue Options (123, PPO, HSA)
- Blue Select
- NC State Employees Health Plan
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*Duke HomeCare and Hospice does not participate in the plan.
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Cigna
- Cigna Behavioral Health (*Limited eligibility)
- Cigna Choice Plus
- Cigna Connect Individual Family Plan
- Cigna Open Access
- Cigna Open Access Plus
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*Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
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Duke Group Plans
- Duke Basic
- Duke Select
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Experience Health
- Experience Health Medicare Advantage (HMO) Plan
- Gateway Health Alliance
- Healthgram
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Humana
- Humana Choice (PPO)
- Humana Choice - Medicare Advantage (PPO)
- Humana ChoiceCare - Medicare Advantage (PPO)
- Humana Gold Choice - Medicare Advantage (PFFS)
- Humana Gold Plus - Medicare Advantage (HMO)
- Humana Medicare Advantage Group Plan - NC State Retirees
- MedCost
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Medicare
- First Medicare Direct
- Medicare Part A
- Medicare Part B
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NC Medicaid
- AmeriHealth Caritas North Carolina
- Carolina Complete Health
- Healthy Blue
- NC Medicaid Direct
- WellCare of North Carolina
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TRICARE
- TRICARE Prime
- TRICARE Prime Remote
- TRICARE Select
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United Healthcare
- AARP Medicare Advantage Plan 2 (HMO-POS)
- AARP Medicare Complete (HMO, PPO)*
- AARP Medicare Complete Essential (HMO)*
- All Savers Alternate Funding
- All Savers Fully Insured
- United Healthcare (HMO, PPO, POS)**
- United Healthcare Charter/Charter Balance/Charter Plus
- United Healthcare Choice/Choice Plus
- United Healthcare Core/Core Essential
- United Healthcare Navigate/Navigate Plus/Navigate Balanced
- United Healthcare Option PPO
- United Healthcare Passport Connect Choice/Choice Plus
- United Healthcare Passport Connect Options PPO
- United Healthcare Select/Select Plus
- United Healthcare Shared Services - Harvard Pilgrim/UHC Options PPO Network
- United Medical Resources (UMR)
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*Duke HomeCare and Hospice and mental health providers do not participate with the plan.
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**Duke Health does not participate in UHC plans on the Health Insurance Marketplace.
Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.
External Relationships
- HEMOSQUID
- Noma AI
- Perinatal Quality Collaborative of North Carolina