MRS. KATHEY RANEA SPENCE (PA PHYSICIAN ASSISTA) – Physician Assistant, NPI 1073601050
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MRS. KATHEY RANEA SPENCE (PA PHYSICIAN ASSISTA)
2555, South Downing Street, Denver, Denver County, Colorado, 80210, United States
#130
DENVER, CO 802105855
Phone: (303) 777-7112
Fax: (303) 722-0201
Type: Location
11700 W 2nd Pl
Lakewood, CO 802281704
Phone: (720) 321-8080
Fax: (720) 321-8081
Type: Location
Saint Anthony Medical Plaza 2, 11700, West 2nd Place, Lakewood, Jefferson County, Colorado, 80228, United States
SUITE #210
LAKEWOOD, CO 87022
Phone: (720) 321-8080
Fax: (720) 321-8081
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,054.
Total Amount is formed as General ($1,054) + Research ($0) + Ownership ($0) = $1,054.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($960).
Total Amount
$1,054
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,054
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $960 |
| Innovation Technologies Inc | $45 |
| ABBVIE INC. | $26 |
| Enterra Medical, Inc. | $23 |
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: 2004-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040315001079 | I | Physician Assistant | CO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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