Spencer Dyer, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

62745 Issued in MN

Practice address

5169 S Cottonwood St Ste 303
Murray, UT 84107-6768

Phone

(801) 507-3750

Fax

(801) 507-3799

NPI assigned

Aug 17, 2016

Sex

Male

Sole proprietor

Yes

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 MN, UT, ID, WA4 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 4

Specialty

Diagnostic Radiology

Education

Temple University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Tellica Imaging LLCGroup PAC ID 3577950765, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010
• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
• Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
• Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061
• Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Tellica Imaging - Washington LLC

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1346093150

  Diagnostic Radiology, WA

  Medicare reassignment Care Compare group NPD
• Tellica Imaging, LLC

  • Radiology Clinic/Center
  • Boise, ID
  • NPI 1760197198

  Diagnostic Radiology, ID, UT

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Family Medicine, UT

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154

  UT

  Medicare reassignment NPD
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

  • Multi-Specialty Clinic/Center
  • La Crosse, WI
  • NPI 1629056049

  MN

  Medicare reassignment NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Ogden, UT
  • NPI 1144802802
  Care Compare group NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • West Valley City, UT
  • NPI 1407438039
  Care Compare group NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Spanish Fork, UT
  • NPI 1518727734
  Care Compare group NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Salt Lake City, UT
  • NPI 1649998709
  Care Compare group NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Bountiful, UT
  • NPI 1205554367
  Care Compare group
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Orem, UT
  • NPI 1508448291
  Care Compare group
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Draper, UT
  • NPI 1710605696
  Care Compare group

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

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Riverton, UT
  • NPI 1154551919

  Hospital

  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580

  Hospital

  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Sandy, UT
  • NPI 1962412486

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Layton, UT
  • NPI 1417460205

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1245785492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 S COTTONWOOD ST STE 303",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076768",
            "telephone_number": "801-507-3750",
            "fax_number": "801-507-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "62745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne Annette Durrant, LCSW
• Emily Durrant
• Laura Durrant
• Youssuf Duse
• Thomas Paul Redd Dutson, OD
• Eagle Eye Care, Inc.
• Kylee Ealey-Nipper
• Sarah A Earhart, RD
• Tina Earl
• Sarah A East, LCSW

• All providers in Murray, UT
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.