NPIMap

Individual provider Active NPI

Spencer Richard Couturier, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1508285586
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301501847 Issued in MI
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Apr 7, 2014
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A149438 CA
Diagnostic Radiology Physician 2085R0202X 4301501847 MI Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-0497

Other practice location 2

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherMISOCIAL SECURITY NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT, IA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200506002257 MI Practitioner - Diagnostic Radiology 5799116778 Reassigns benefits to 9 organizations
I20250916001075 MT Practitioner - Diagnostic Radiology 5799116778 Reassigns benefits to 2 organizations
I20251013001794 IA Practitioner - Diagnostic Radiology 5799116778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Grand Traverse Radiologists PCGroup PAC ID 6002866407, 32 clinicians

Practice addresses (Care Compare)

Traverse City, MI 49686
Phone (570) 271-6144

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

951 Beautiful Shores Rd
Traverse City, MI 49686-7702
Phone (952) 595-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as group
Quality
91.34
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149438CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac Inc Current Accepting new patients
Novello Imaging PLC CurrentSince Mar 1, 2021 Accepting new patients
Sidney Health Center CurrentSince Jul 23, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Jul 23, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 11, 2025 Accepting new patients
Dr Richard Burke Pain and Neuromodulation PLLC CurrentSince Aug 11, 2023 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Dec 8, 2025 Accepting new patients
Grand Traverse Radiologists PC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Alameda Health System Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

4290 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 421-8505

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Organizations & group practices 20

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 20

Hospital & facility affiliations 9

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1508285586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUTURIER",
        "first_name": "SPENCER",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A149438",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301501847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.