SPENCER AUDIE – Anesthesiology Physician, NPI 1306209440

SPENCER AUDIE is a healthcare provider. based in Anchorage, Alaska. specializing in ANESTHESIOLOGY. They hold a License No. 189763 (AK). The NPI Number for SPENCER AUDIE is 1306209440

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER AUDIE
NPI
1306209440
Phone
(907) 279-0555
Address
3300 PROVIDENCE DR
Enumeration Date
5 April 2016
Last Update Date
10 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9077968769
Graduation Year
2016 (10 years ago)
PAC ID
3173816352
Group Practice PAC ID
7911343967
Professional Enrollment ID
I20220815002299
Address ID
AK998017808JU3260XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

104 ANESTHESIOLOGY in AK

Provider Addresses for SPENCER AUDIE

  • 3300 PROVIDENCE DR

    ANCHORAGE, AK 995084690

    Phone: (907) 279-0555

    Type: Location

  • MSC 10 6000

    1 UNIVERSITY OF NEW MEXICO

    ALBUQUERQUE, NM 871310001

    Phone:

    Type: Mailing

  • 3300 PROVIDENCE DR STE 207

    ANCHORAGE, AK 995084620

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220815002299IAnesthesiologyAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00537Anesthesia for procedure to assess heart electrical activity1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
76942Ultrasonic guidance for needle placement1212$0
View full utilization report →

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911343967View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAK
Internal Medicine, AnesthesiologyWA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

What number should I use to identify SPENCER AUDIE for billing?
Administrative and clinical systems typically use NPI 1306209440 for SPENCER AUDIE.
Is SPENCER AUDIE's NPI status active today?
Active status means SPENCER AUDIE's NPI record is not deactivated in the public file.
How should patients interpret SPENCER AUDIE's specialty?
The extract shows Anesthesiology Physician for SPENCER AUDIE. Clinical services aligned with this taxonomy classification.
What city is tied to SPENCER AUDIE?
The directory associates SPENCER AUDIE with Anchorage, Alaska. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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