SPENCER W KERLEY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1891713038

SPENCER W KERLEY (MD) is a healthcare provider. based in Bowling green, Kentucky. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. R2P49 (MO). The NPI Number for SPENCER W KERLEY (MD) is 1891713038

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER W KERLEY (MD)
NPI
1891713038
Phone
(270) 745-1264
Address
250 Park St
Enumeration Date
17 July 2006
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4175023840
Graduation Year
1986 (40 years ago)
PAC ID
5294647442
Group Practice PAC ID
0648167544
Professional Enrollment ID
I20060206000920
Address ID
KS667018797FO401XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:19State licenses:4Digital endpointsOther names

228 PATHOLOGY in KY

Provider Addresses for SPENCER W KERLEY (MD)

  • 250 Park St

    Bowling Green, KY 421011760

    Phone: (270) 745-1264

    Type: Location

  • 7950 W Jefferson Blvd

    Fort Wayne, IN 468044140

    Phone: (260) 435-2856

    Type: Location

  • 7800, West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States

    OVERLAND PARK, KS 662102306

    Phone: (913) 338-4070

    Fax: (913) 338-4245

    Type: Location

  • Shawnee Mission Post Office, 6029, Broadmoor Street, Mission, Johnson County, Kansas, 66202, United States

    SHAWNEE MISSION, KS 662070210

    Phone: (913) 338-4070

    Fax: (913) 338-4245

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20060206000920IPathologyKSTBD
I20250828004523IPathologyINTBD
I20250903003373IPathologyKYTBD
I20251016000042IPathologyTNTBD
I20251209001841IPathologyMSTBD
I20260302003128IPathologyVATBD

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 42101)

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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: 0648167544View full group profile
NameSpecialtyState
P A T H O L O G YTN
-TN
P A T H O L O G YIL
P A T H O L O G YSC
P A T H O L O G YTN
P A T H O L O G YAL
P A T H O L O G YTN
P A T H O L O G YKY
P A T H O L O G YMO
-TN

Reviews

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Frequently asked questions

What identifier follows SPENCER W KERLEY (MD) across health systems?
The NPI 1891713038 uniquely identifies SPENCER W KERLEY (MD) in U.S. healthcare data.
Should I treat SPENCER W KERLEY (MD) as an active provider?
Patients and plans typically see SPENCER W KERLEY (MD) as active in the national extract.
What type of care does SPENCER W KERLEY (MD) provide?
SPENCER W KERLEY (MD)'s profile centers on Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is SPENCER W KERLEY (MD) tied to Bowling Green, Kentucky?
If you are local to Bowling Green, Kentucky, SPENCER W KERLEY (MD) may be relevant to your search.
Why is information missing for SPENCER W KERLEY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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