Individual provider Active NPI

Charles Thomas Spencer III, MD

  • Emergency Medicine Physician
  • Kansas City, MO
National Provider Identifier
1477844041
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2016015085 Issued in MO
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(314) 324-1724
NPI assigned
Apr 29, 2011
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2016015085 MO Primary
General Practice Physician 208D00000X 48869 AZ
General Practice Physician 208D00000X A122189 CA

Addresses

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

2310 Holmes St Ste 800
Kansas City, MO 64108-2602
Phone (816) 404-8188

Other practice location 1

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, CO3 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
I20180525001027 MO Practitioner - Emergency Medicine 2668615832 Reassigns benefits to 1 organization
I20200619000732 TX Practitioner - Emergency Medicine 2668615832 Reassigns benefits to 6 organizations
I20231122002638 CO Practitioner - Emergency Medicine 2668615832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gonzales Emergency Partners PLLCGroup PAC ID 3971964032, 7 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016015085MOMDEmergency Medicine Physician
A122189CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince May 3, 2021 Accepting new patients
Gonzales Emergency Partners, PLLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Yucca Valley Urgent Care, Inc. General Practice CurrentSince Jan 20, 2014 Accepting new patients
University Health Physicians Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince May 3, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients

Locations

58471 29 Palms Hwy
Ste 303
Yucca Valley, CA 92284
Phone (760) 365-0851

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

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

2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1477844041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOLMES ST STE 800",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082602",
            "telephone_number": "816-404-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "314-324-1724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016015085",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "48869",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A122189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.