Patrick L Spencer, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34-00-6232-S Issued in OH

Practice address

425 W Grand Ave
Ste 1002
Dayton, OH 45405-4775

Phone

(937) 298-5536

Fax

(937) 298-5596

NPI assigned

Aug 15, 2005

Last updated

Apr 12, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Ophthalmology

Education

Philadelphia College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score

87.88 of 100Reported as individual

Quality

78.72

Promoting interoperability

95

Improvement activities

40

Cost

78.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.spencer.1@9965.direct.athenahealth.com

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.

• Patrick L Spencer DO, Inc

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1922051168
  Medicare reassignment NPD Authorized official
• Dayton Osteopathic Hospital

  dba Kettering Health Dayton - Cassano

  • Multi-Specialty Clinic/Center
  • Dayton, OH
  • NPI 1588630347
  Medicare reassignment NPD
• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD
• Dayton Osteopathic Hospital

  dba Kettering Health Specialty Pharmacy

  • Specialty Pharmacy
  • Kettering, OH
  • NPI 1629511688
  NPD
• Miami Valley Ambulatory Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
  • NPI 1366651242
  NPD

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

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1861494304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "STE 1002",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7870",
            "fax_number": "937-226-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "STE 1002",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-298-5536",
            "fax_number": "937-298-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054536",
            "country_code": "US",
            "telephone_number": "937-723-4994",
            "fax_number": "937-463-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "PATRICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34-00-6232-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050739",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pspencer202031@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "330 Forest Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454054536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "330 Forest Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454054536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jhonta Spencer, QMHS 3YR.
• Katrina Spencer
• Kira Elizabeth Spencer
• Kylee Spencer
• Markcom Spencer
• Steven Michael Spencer
• Joel Spenny
• Francis James Speranza, MD
• Jodi I Sperber, DO
• Sarah Sperber, DO

• Ophthalmology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.