MR. PHILLIP MATTHEW SPENCER (PA) – Surgical Physician Assistant, NPI 1073993556

MR. PHILLIP MATTHEW SPENCER (PA) is a healthcare provider. based in Glendale, Arizona. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 6048 (AZ). The NPI Number for MR. PHILLIP MATTHEW SPENCER (PA) is 1073993556

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. PHILLIP MATTHEW SPENCER (PA)
NPI
1073993556
Phone
(623) 856-2273
Address
7219 N Litchfield Rd
Enumeration Date
1 June 2015
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4802566444
Graduation Year
2015 (11 years ago)
PAC ID
9638486079
Group Practice PAC ID
6103097779
Professional Enrollment ID
I20150916002914
Address ID
AZ852342165GI2946XDRXX524
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,726 PHYSICIAN ASSISTANT in AZ

Provider Addresses for MR. PHILLIP MATTHEW SPENCER (PA)

  • 7219 N Litchfield Rd

    Glendale, AZ 853091529

    Phone: (623) 856-2273

    Type: Location

  • 2929 E THOMAS RD

    PHOENIX, AZ 850168034

    Phone: (602) 470-5000

    Fax: (602) 470-5064

    Type: Mailing

  • 2525 E ROOSEVELT ST

    PHOENIX, AZ 85008

    Phone: (602) 344-1015

    Fax: (602) 344-0718

    Type: Location

  • 10401 W. THUNDERBIRD BLVD

    SUITE 300

    SUN CITY, AZ 85351

    Phone: (623) 977-7211

    Fax: (480) 256-3682

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Davol Inc. ($155).

Total Amount

$244

General + Research + Ownership

Payments

2

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$155
ATRICURE, INC.$89
View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-16

PECOS data refreshed: 2026-06-15

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
I20150916002914IPhysician AssistantAZTBD

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
36561Insertion of central venous tube with port (5 years or older)2121$0
View full utilization report →

Insurance plans in this area (ZIP 85309)

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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: 6103097779View full group profile

Reviews

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Frequently asked questions

Is MR. PHILLIP MATTHEW SPENCER (PA) listed with a National Provider Identifier?
Yes — MR. PHILLIP MATTHEW SPENCER (PA) has NPI 1073993556 on file in the registry.
Is MR. PHILLIP MATTHEW SPENCER (PA) shown as active in public data?
Registry records indicate MR. PHILLIP MATTHEW SPENCER (PA) maintains an active NPI.
What kind of doctor is MR. PHILLIP MATTHEW SPENCER (PA)?
MR. PHILLIP MATTHEW SPENCER (PA) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MR. PHILLIP MATTHEW SPENCER (PA) associated with Glendale?
Public fields place MR. PHILLIP MATTHEW SPENCER (PA) around Glendale, Arizona. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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