Individual provider Active NPI

Douglas Spencer, DO

  • Emergency Medicine Physician
  • Lafayette, CO
National Provider Identifier
1215496195
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0070153 Issued in CO
Practice address
200 Exempla Cir
Lafayette, CO 80026-3370
Phone
(303) 689-4000
NPI assigned
Mar 19, 2019
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0070153 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 Exempla Cir
Lafayette, CO 80026-3370

Mailing address

4422 3Rd Ave
Bronx, NY 10457-2594
Phone (718) 960-6240

Other practice location 1

4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230609000306 CO Practitioner - Emergency Medicine 7416314265 Reassigns benefits to 3 organizations
I20240112002547 NY Practitioner - Emergency Medicine 7416314265
I20240206000817 ND Practitioner - Emergency Medicine 7416314265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
79.54
Improvement activities
40
Cost
78.56

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
86.21
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
Healthsource Partners ND LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jan 19, 2024 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Usacs of Colorado, Inc Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jan 19, 2024 Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1215496195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572594",
            "telephone_number": "718-960-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EXEMPLA CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263370",
            "telephone_number": "303-689-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "718-960-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0070153",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.