SPENCER MCCAFFREY (MD) – Family Medicine Physician, NPI 1104386069

SPENCER MCCAFFREY (MD) is a healthcare provider. based in Santa monica, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A179005 (CA). The NPI Number for SPENCER MCCAFFREY (MD) is 1104386069

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER MCCAFFREY (MD)
NPI
1104386069
Phone
(310) 801-7396
Address
340 23RD ST
Enumeration Date
25 March 2019
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8186273050
Graduation Year
2019 (7 years ago)
PAC ID
5496168288
Group Practice PAC ID
1850296534
Professional Enrollment ID
I20220628003283
Address ID
CA914051949VA7515XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for SPENCER MCCAFFREY (MD)

  • 340, 23rd Street, Santa Monica, Los Angeles County, California, 90402, United States

    SANTA MONICA, CA 904022514

    Phone: (310) 801-7396

    Type: Mailing

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 1920, Colorado Avenue, Santa Monica, Los Angeles County, California, 90404, United States

    SANTA MONICA, CA 904043414

    Phone: (310) 319-4700

    Type: Location

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: 2022-06-28

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
I20220628003283IFamily PracticeCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15493$0
99213Established patient office or other outpatient visit, 20-29 minutes6963$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes1717$0
36415Insertion of needle into vein for collection of blood sample1514$0
View full utilization report →

Insurance plans in this area (ZIP 90402)

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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: 1850296534View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check SPENCER MCCAFFREY (MD) using NPI 1104386069?
NPI 1104386069 belongs to SPENCER MCCAFFREY (MD); compare other details if you need extra assurance.
Active or inactive — what applies to SPENCER MCCAFFREY (MD)?
You should see SPENCER MCCAFFREY (MD) as active in CMS-hosted NPPES data.
What area of care is associated with SPENCER MCCAFFREY (MD)?
SPENCER MCCAFFREY (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is SPENCER MCCAFFREY (MD) registered?
Use Santa Monica, California as the headline location for SPENCER MCCAFFREY (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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