David Vincent Spencer, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2016020994 Issued in 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

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MO2 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

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 IncGroup PAC ID 1254236300, 256 clinicians

Kirksville Missouri Hospital Company LLCGroup PAC ID 3274517347, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Regional Home Health Home health agency, Kirksville, MO, CCN 267296
• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
• Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
• Scotland County Hospital Hospital, Memphis, MO, CCN 261310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.spencer.5@2245.direct.athenahealth.com
• Direct secure messaging: david.spencer.p1@direct.cfmkv.nextgenshare.com
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

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

• Hannibal Regional Healthcare System, Inc

  dba Hannibal Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1134311392
  Medicare reassignment Care Compare group NPD
• Kirksville Missouri Hospital Company LLC

  dba Northeast Regional Medical Group

  • Family Medicine Physician
  • Kirksville, MO
  • NPI 1336491448

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kirksville Clinic Corp

  • Family Medicine Physician
  • Kirksville, MO
  • NPI 1538155817

  Internal Medicine

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Hannibal Regional Healthcare System Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1003956095
  NPD
• Hannibal Regional Healthcare System, Inc

  • Multi-Specialty Clinic/Center
  • Kirksville, MO
  • NPI 1447789300
  NPD
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Stigler

  • Primary Care Clinic/Center
  • Stigler, OK
  • NPI 1184690026
  NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic - Broken Bow

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD

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

• Hannibal Regional Healthcare System, Inc

  • Rural Acute Care Hospital
  • Hannibal, MO
  • NPI 1922042704
  Care Compare affiliation
• Kirksville Home Care Services LLC

  dba Northeast Regional Home Health

  • Home Health Agency
  • Kirksville, MO
  • NPI 1598200917
  Care Compare affiliation
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Care Compare affiliation
• Scotland County Memorial Hospital

  dba Scotland County Hospital

  • Critical Access Hospital
  • Memphis, MO
  • NPI 1083624647
  Care Compare affiliation

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1154820157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S BALTIMORE ST STE B",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014508",
            "telephone_number": "660-665-3599",
            "fax_number": "660-665-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S BALTIMORE ST STE B",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014508",
            "telephone_number": "660-665-3599",
            "fax_number": "660-665-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DAVID",
        "middle_name": "VINCENT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2016020994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Sparks, DMD
• Robert W Sparks, D.O.
• Brent D Speak, DO
• Speech and Language With a Little TLC LLC
• Speech-Language and Learning Services LLC
• Brooke April Sprague, FNP-C
• SRS- Kirksville LLC
• Lacey Brianne St. Clair, RDH
• Jennifer Stam Fountain, BCBA, LBA
• State of Missouri (Kirksville Regional Center)

• Internal Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.