MARK D SPENCER (MD) – Family Medicine Physician, NPI 1497719728

MARK D SPENCER (MD) is a healthcare provider. based in Gooding, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M4484 (ID). The NPI Number for MARK D SPENCER (MD) is 1497719728

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MARK D SPENCER (MD)
NPI
1497719728
Phone
(208) 934-5900
Address
PO BOX 447
Enumeration Date
13 April 2006
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2089345900
Graduation Year
1979 (47 years ago)
PAC ID
5799945150
Group Practice PAC ID
2163330325
Professional Enrollment ID
I20120322000523
Address ID
ID833301258GO425XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

Provider Addresses for MARK D SPENCER (MD)

  • PO BOX 447

    GOODING, ID 83330

    Phone: (208) 934-5900

    Fax: (208) 934-5719

    Type: Mailing

  • 410 N IDAHO ST

    WENDELL, ID 833555038

    Phone: (208) 990-3226

    Fax: (888) 440-7959

    Type: Location

  • 410 N Idaho St

    Wendell, ID 833555038

    Phone: (208) 536-3995

    Fax: (888) 440-7959

    Type: Location

  • 425, Idaho Street, Gooding, Gooding County, Idaho, 83330, United States

    GOODING, ID 83330

    Phone: (208) 934-5900

    Fax: (208) 934-5719

    Type: Location

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 $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Boston Scientific Corporation ($43).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2012-03-22

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
I20120322000523IFamily PracticeIDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4926$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3434$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1917$0
99238Hospital discharge day management, 30 minutes or less1514$0
View full utilization report →

Insurance plans in this area (ZIP 83330)

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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: 2163330325View full group profile
NameSpecialtyState
Family Practice, Internal MedicineID
Family PracticeUT
-ID
-ID
Nurse PractitionerID

Reviews

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Frequently asked questions

What unique ID ties claims to MARK D SPENCER (MD)?
NPI 1497719728 is assigned to MARK D SPENCER (MD) under the national enumeration system.
Is MARK D SPENCER (MD) currently active in the NPI registry?
CMS-published data lists MARK D SPENCER (MD) as an active registrant.
What field does MARK D SPENCER (MD) work in?
You can think of MARK D SPENCER (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARK D SPENCER (MD)?
We surface Gooding, Idaho for MARK D SPENCER (MD) based on available NPPES addresses.
Is MARK D SPENCER (MD) a real provider?
This page reflects official NPPES data for NPI 1497719728. Always confirm identity and privileges with the practice and licensing boards.

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