Individual provider Active NPI

Brent Austin Spencer, M.D.

  • MOHS-Micrographic Surgery Physician
  • Frisco, TX
National Provider Identifier
1861650947
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
M8356 Issued in TX
Practice address
3535 Victory Group Way
Ste 200
Frisco, TX 75034-6721
Phone
(972) 712-5100
Fax
(972) 712-5113
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X M8356 TX
Dermatology Physician 207N00000X M8356 TX
MOHS-Micrographic Surgery Physician 207ND0101X M8356 TX Primary

Addresses

Primary practice location

3535 Victory Group Way
Ste 200
Frisco, TX 75034-6721

Mailing address

3535 Victory Group Way
Ste 200
Frisco, TX 75034-6721
Phone (972) 712-5100

Other identifiers 1

IdentifierTypeStateIssuer
8CC921OtherTXBCBSTX INDIVIDUAL ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20090902000555 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9638224280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3535 Victory Group Way
Suite 200
Frisco, TX 75034-6721
Phone (972) 712-5100

Merit-based Incentive Payment System (MIPS)

Final score
93.47 of 100Reported as group
Quality
95
Promoting interoperability
100
Improvement activities
40
Cost
83.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision71
Removal of skin lesions1037
Removal of skin cancer238
Removal or shaving of skin growth1-10
Skin biopsy297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8356TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Surgery Institute of North Texas, P.a. Dermatology CurrentSince Sep 1, 2009 Accepting new patients

Locations

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

3535 Victory Group Way
Ste 200
Frisco, TX 75034
Phone (972) 712-5100

7044 Lebanon Rd
Ste 102
Frisco, TX 75034
Phone (214) 385-8822

Interoperability endpoints

  • Direct secure messaging: brent.spencer@dssi.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCGHAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1861650947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346721",
            "telephone_number": "972-712-5100",
            "fax_number": "972-712-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346721",
            "telephone_number": "972-712-5100",
            "fax_number": "972-712-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRENT",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "M8356",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M8356",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "M8356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX INDIVIDUAL ID",
            "identifier": "8CC921",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.