Active NPI
Spencer K Michalke, M.D.
- Plastic and Reconstructive Surgery Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME173641
- Practice address
- 8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813 - Phone
- (239) 396-8930
- Fax
- (239) 396-8932
- NPI assigned
- May 9, 2012
- Last updated
- Jun 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 62006 | AZ | |
| Plastic Surgery Physician | 208200000X | 13930346-1205 | UT | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME173641 | FL | Primary |
Addresses
Primary practice location
8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 396-8930
Other practice location 1
5169 S Cottonwood St Ste 420
Murray, UT 84107-6769
Phone (801) 507-1650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126716100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smichalke667822@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, UT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Wake Forest University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8925 Colonial Ctr Dr
Suite 2001
Fort Myers, FL 33905-7813
Phone (239) 343-9567
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 19 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| Regency Ambulatory Surgery Center One, LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Mussman, PLLC | Multi-Specialty | Current | Accepting new patients |
| Lee Health System Inc | Multi-Specialty | Current | Accepting new patients |
| Ihc Health Services Inc | Multi-Specialty | Current | Accepting new patients |
Locations
10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077
14725 W Mountain View Blvd
Ste 125
Surprise, AZ 85374
Phone (602) 243-9077
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8925 Colonial Center Dr
Ste 1000
Fort Myers, FL 33905
Phone (239) 343-9560
8925 Colonial Center Dr
Ste 2001
Fort Myers, FL 33905
Phone (239) 343-9567
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5169 S Cottonwood St
Ste 420
Salt Lake City, UT 84107
Phone (801) 507-1650
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- smichalke667822@direct.leememorial.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Ambulatory Surgical Clinic/Center
- Surprise, AZ
- NPI 1073155834
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba Intermountain UV Orthopaedics - Orem
- Orthopaedic Surgery Physician
- Orem, UT
- NPI 1336273424
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1801155064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-396-8930",
"fax_number": "239-396-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8925 COLONIAL CENTER DR STE 1000",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057813",
"telephone_number": "239-396-8930",
"fax_number": "239-396-8932"
}
],
"practiceLocations": [
{
"address_1": "5169 S Cottonwood St Ste 420",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841076769",
"country_code": "US",
"telephone_number": "801-507-1650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHALKE",
"first_name": "SPENCER",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "62006",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "UT",
"license": "13930346-1205",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME173641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126716100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smichalke667822@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.