David Vincent Spencer, DO
Individual provider Active NPI Internal Medicine Physician · Kirksville, MO
NPI 1154820157 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1154820157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2016020994 (MO)
- Practice address
- 1605 S Baltimore St Ste B
Kirksville, MO 63501-4508 - Phone
- (660) 665-3599
- Fax
- (660) 665-6570
- NPI assigned
- Feb 5, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hannibal Regional Healthcare System Inc
Kirksville Missouri Hospital Company LLC
Practice addresses (Care Compare)
1605 S Baltimore St
Suite B
Kirksville, MO 63501-4508
Phone (660) 665-3599
1607 S Baltimore St
Kirksville, MO 63501-4536
Phone (660) 627-3363
Hospital & facility affiliations
- Northeast Regional Home Health
- Northeast Regional Medical Center
- Hannibal Regional Hospital
- Macon County Samaritan Memorial Hospital
- Scotland County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180323001202 | TX | Practitioner - Internal Medicine | 1052673472 | Reassigns benefits to 1 organization |
| I20180724002212 | MO | Practitioner - Internal Medicine | 1052673472 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System, Inc | Current |
Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| Kirksville Clinic Corp | Internal Medicine | Current |
Accepting new patients |
| Hannibal Regional Healthcare System Inc | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Kirksville Missouri Hospital Company LLC | Internal Medicine | Current |
Accepting new patients |
| Kirksville Missouri Hospital Company, LLC | Current |
Accepting new patients |
Locations
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
1605 S Baltimore St
Ste B
Kirksville, MO 63501
Phone (660) 665-3599
1607 S Baltimore St
Kirksville, MO 63501
Phone (660) 627-3363
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
Interoperability endpoints
- david.spencer.5@2245.direct.athenahealth.com
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- david.spencer.p1@direct.cfmkv.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2016020994 | MO | Yes |
Addresses
Primary practice location
1605 S Baltimore St Ste B
Kirksville, MO 63501-4508
Mailing address
1605 S Baltimore St Ste B
Kirksville, MO 63501-4508
Phone (660) 665-3599
Other providers in Kirksville, MO
- Megan Sparks
- Robert W Sparks
- Brent D Speak
- Speech and Language With a Little TLC LLC
- Speech-Language and Learning Services LLC
- Brooke April Sprague
- SRS- Kirksville LLC
- Lacey Brianne St. Clair
- Jennifer Stam Fountain
- State of Missouri
All providers in Kirksville, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.