DR. SPENCER WOLVERTON (DPM) – Foot Surgery Podiatrist, NPI 1174264881

DR. SPENCER WOLVERTON (DPM) is a healthcare provider. based in Cambridge, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC007601 (PA). The NPI Number for DR. SPENCER WOLVERTON (DPM) is 1174264881

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. SPENCER WOLVERTON (DPM)
NPI
1174264881
Phone
(617) 497-2420
Address
330 Mount Auburn St.
Enumeration Date
5 April 2022
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175320178
Graduation Year
2022 (4 years ago)
PAC ID
2264887025
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20250728002561
Address ID
PA172578131SH127XXRDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

387 PODIATRY in MA

Provider Addresses for DR. SPENCER WOLVERTON (DPM)

  • 330 Mount Auburn St.

    South 2-Department of Surgery

    Cambridge, MA 021385502

    Phone: (617) 497-2420

    Fax: (617) 499-5593

    Type: Location

  • 1508 TULLAGEE AVE

    MELBOURNE, FL 329406083

    Phone: (208) 206-5058

    Type: Mailing

  • 330 MOUNT AUBURN ST.

    SOUTH 2-DEPARTMENT OF SURGERY

    CAMBRIDGE, MA 021385502

    Phone: (617) 497-2420

    Fax: (617) 499-5593

    Type: Location

  • 127 WALNUT BOTTOM RD

    SHIPPENSBURG, PA 172578131

    Phone: (717) 532-0178

    Fax: (717) 706-6797

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $557.

Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Stryker Corporation ($210).

Total Amount

$557

General + Research + Ownership

Payments

9

Total payment records

General Amount

$557

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2025-07-28

PECOS data refreshed: 2026-06-15

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
I20250728002561IPodiatryPATBD

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 02138)

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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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA
Endocrinology, Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify DR. SPENCER WOLVERTON (DPM) for billing?
Administrative and clinical systems typically use NPI 1174264881 for DR. SPENCER WOLVERTON (DPM).
Quick check: is DR. SPENCER WOLVERTON (DPM) active?
Public NPPES data shows DR. SPENCER WOLVERTON (DPM) with an active NPI status right now.
What services align with DR. SPENCER WOLVERTON (DPM)'s listing?
DR. SPENCER WOLVERTON (DPM)'s public classification highlights Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SPENCER WOLVERTON (DPM)?
The directory associates DR. SPENCER WOLVERTON (DPM) with Cambridge, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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