ERIC W SPENCER – Oral and Maxillofacial Surgery (Dentist), NPI 1790947265

ERIC W SPENCER is a healthcare provider. based in Newark, Delaware. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. G1-0001332 (DE). The NPI Number for ERIC W SPENCER is 1790947265

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ERIC W SPENCER
NPI
1790947265
Phone
(302) 292-1600
Address
4735 OGLETOWN STANTON RD
Enumeration Date
26 June 2008
Last Update Date
16 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022921600
Graduation Year
2007 (19 years ago)
PAC ID
5294014106
Group Practice PAC ID
0143397414
Professional Enrollment ID
I20161117000709
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for ERIC W SPENCER

  • 4735 OGLETOWN STANTON RD

    MEDICAL ARTS PAVILION 2, STE 1115

    NEWARK, DE 197132072

    Phone: (302) 292-1600

    Fax: (302) 292-8629

    Mailing address matches the actual address.

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 $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: Straumann USA LLC ($193).

Total Amount

$193

General + Research + Ownership

Payments

2

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Straumann USA LLC$193
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: 2016-11-17

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
I20161117000709IOral SurgeryDETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19713)

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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: 0143397414View full group profile

Reviews

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Frequently asked questions

How do payers reference ERIC W SPENCER?
For ERIC W SPENCER, use NPI 1790947265 as the unique 10-digit identifier.
Active or inactive — what applies to ERIC W SPENCER?
You should see ERIC W SPENCER as active in CMS-hosted NPPES data.
How would a patient describe ERIC W SPENCER's focus?
For ERIC W SPENCER, the primary taxonomy reads as Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is ERIC W SPENCER located near Newark?
ERIC W SPENCER currently maps to Newark, Delaware in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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