BREYAUNA SPENCER – Psychiatry Physician, NPI 1053998997
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
529 PSYCHIATRY in IN
Provider Addresses for BREYAUNA SPENCER
8555 TAFT ST
MERRILLVILLE, IN 464106123
Phone:
Type: Mailing
8028 ANNE CT
ORLAND PARK, IL 604624907
Phone:
Type: Mailing
3031 W GRAND BLVD
DETROIT, MI 482023046
Phone: (313) 346-5235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $166.
Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: ABBVIE INC. ($115).
Total Amount
$166
General + Research + Ownership
Payments
3
Total payment records
General Amount
$166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $115 |
| Otsuka America Pharmaceutical, Inc. | $51 |
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: 2025-08-20
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 |
|---|---|---|---|---|
| I20250820002044 | I | Psychiatry | IN | 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 46410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| P S Y C H I A T R Y | IN | |
| Mental Health Counselor | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | IL | |
| Nurse Practitioner | IN | |
| Family Practice | FL |
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