Individual provider Active NPI

Spenser Reed, MD

  • Family Medicine Physician
  • Park City, UT
National Provider Identifier
1205398799
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12624292-1205 Issued in UT
Practice address
1790 Sun Peak Dr Ste A101
Park City, UT 84098-6624
Phone
(435) 645-0800
NPI assigned
Apr 3, 2019
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12624292-1205 UT Primary

Addresses

Primary practice location

1790 Sun Peak Dr Ste A101
Park City, UT 84098-6624

Mailing address

1790 Sun Peak Dr Ste A101
Park City, UT 84098-6624
Phone (435) 645-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220825002365 UT Practitioner - Family Practice 6507264983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1790 Sun Peak Dr
Suite A101
Park City, UT 84098-6624
Phone (435) 645-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as individual
Quality
56.34
Improvement activities
40
Cost
63.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12624292-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Scott MD PLC CurrentSince Jul 15, 2022 Accepting new patients
Spenser Reed MD PLLC Family Medicine CurrentSince Jul 15, 2022 Accepting new patients

Locations

1790 Sun Peak Dr
Ste A101
Park City, UT 84098
Phone (435) 645-0800

4137 Highway 224
Park City, UT 84098

Interoperability endpoints

  • Direct secure messaging: spenser.reed.1@26054.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1205398799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A101",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986624",
            "telephone_number": "435-645-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A101",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986624",
            "telephone_number": "435-645-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SPENSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12624292-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.