Spencer Carl Cleland, MD
Individual provider Active NPI Ophthalmology Physician · Saint Paul, MN
NPI 1235767286 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1235767286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 76636 (MN)
- Practice address
- 401 Phalen Blvd
Saint Paul, MN 55130-5302 - Phone
- (651) 254-7500
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Wisconsin School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Regions Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 78 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20240814002285 | MN | Practitioner - Ophthalmology | 3678975588 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2021017479 | MO | |
| Ophthalmology Physician | 207W00000X | 76636 | MN | Yes |
Addresses
Primary practice location
401 Phalen Blvd
Saint Paul, MN 55130-5302
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
Other providers in Saint Paul, MN
- Clear Path Care, LLC
- Clearcorps USA
- Clearpath Psych Health PLLC
- Clearview Wellness Center
- Eva Marie Luhman Cleet
- Yippy G Clem
- Mary Christine Clemens
- Eric Thomas Clemensen
- Heather Lee Clemenson
- Carly Clements
All providers in Saint Paul, MN · Ophthalmology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 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.