DR. SPENCER HAYDEN AMUNDSEN (M.D.) – Orthopaedic Surgery Physician, NPI 1841517257

DR. SPENCER HAYDEN AMUNDSEN (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 9655914-1205 (UT). The NPI Number for DR. SPENCER HAYDEN AMUNDSEN (M.D.) is 1841517257

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SPENCER HAYDEN AMUNDSEN (M.D.)
NPI
1841517257
Phone
(801) 568-5972
Address
PO BOX 100253
Enumeration Date
24 April 2010
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8015691999
Graduation Year
2010 (16 years ago)
PAC ID
0749589125
Group Practice PAC ID
4688767551
Professional Enrollment ID
I20160912001079
Address ID
UT840889366WE8846XRDXX402

Contacts

Secure Messaging
samundsen57042@epicmtn.hcadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

325 ORTHOPEDIC SURGERY in UT

Provider Addresses for DR. SPENCER HAYDEN AMUNDSEN (M.D.)

  • PO BOX 100253

    ATLANTA, GA 303840253

    Phone: (801) 568-5972

    Fax: (844) 249-1746

    Type: Mailing

  • 96 E KIMBALLS LN STE 207

    DRAPER, UT 840205025

    Phone: (801) 576-2300

    Fax: (844) 249-1746

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $3,270.

Total Amount is formed as General ($3,270) + Research ($0) + Ownership ($0) = $3,270.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,504).

Total Amount

$3,270

General + Research + Ownership

Payments

36

Total payment records

General Amount

$3,270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-09-12

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
I20160912001079IOrthopedic SurgeryUTTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg40065$0
99214Established patient office or other outpatient visit, 30-39 minutes145109$0
73562X-ray of knee, 3 views12587$0
73502X-ray of hip, 2-3 views11494$0
20610Aspiration and/or injection of fluid from large joint11175$0
View full utilization report →

Insurance plans in this area (ZIP 30384)

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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: 4688767551View full group profile
NameSpecialtyState
Orthopedic SurgeryUT
Orthopedic SurgeryNV
Physician AssistantUT
-GA
Orthopedic SurgeryGA
Orthopedic SurgeryTX
General SurgeryGA
Orthopedic SurgeryUT
General SurgeryUT
Physician AssistantUT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SPENCER HAYDEN AMUNDSEN (M.D.)?
NPI 1841517257 is assigned to DR. SPENCER HAYDEN AMUNDSEN (M.D.) under the national enumeration system.
Is DR. SPENCER HAYDEN AMUNDSEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. SPENCER HAYDEN AMUNDSEN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. SPENCER HAYDEN AMUNDSEN (M.D.) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SPENCER HAYDEN AMUNDSEN (M.D.)?
The snapshot lists Atlanta, Georgia for DR. SPENCER HAYDEN AMUNDSEN (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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