SPENCER THOMAS BERTRAM (MD) – Interventional Pain Medicine Physician, NPI 1205876513

SPENCER THOMAS BERTRAM (MD) is a healthcare provider. based in Midland, Michigan. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. Q5156 (TX). The NPI Number for SPENCER THOMAS BERTRAM (MD) is 1205876513

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER THOMAS BERTRAM (MD)
NPI
1205876513
Phone
(989) 832-4202
Address
555 W WACKERLY ST
Enumeration Date
7 June 2006
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697814271
Graduation Year
2000 (26 years ago)
PAC ID
5991718504
Group Practice PAC ID
1153636576
Professional Enrollment ID
I20060727000378
Address ID
MI490681199MA200XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

259 PAIN MANAGEMENT in MI

Provider Addresses for SPENCER THOMAS BERTRAM (MD)

  • 555 W WACKERLY ST

    MIDLAND, MI 486404722

    Phone: (989) 832-4202

    Type: Location

  • 5520, Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75240, United States

    STE 200

    DALLAS, TX 752406381

    Phone: (972) 636-5727

    Type: Mailing

  • 1059, Professional Drive, Flint Charter Township, Genesee County, Michigan, 48532, United States

    FLINT, MI 485323636

    Phone: (810) 230-9111

    Fax: (810) 230-9050

    Type: Location

  • 9909 KINGSTON RDG

    CLARKSTON, MI 483484190

    Phone: (108) 964-5726

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Curonix LLC ($149).

Total Amount

$301

General + Research + Ownership

Payments

4

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

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: 2022-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060727000378IAnesthesiologyMITBD
I20220110001873IPain ManagementWITBD

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
62323Injection of substance into lower spine canal using imaging guidance9076$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level4636$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4636$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance3625$0
62321Injection of substance into middle or upper spine canal using imaging guidance2221$0
View full utilization report →

Insurance plans in this area (ZIP 48640)

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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: 1153636576View full group profile
NameSpecialtyState
-MI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I use this page to confirm SPENCER THOMAS BERTRAM (MD)'s NPI?
Yes. SPENCER THOMAS BERTRAM (MD) is listed with NPI 1205876513 in the public NPI dataset.
Is SPENCER THOMAS BERTRAM (MD) listed as active for patients and plans?
The listing shows SPENCER THOMAS BERTRAM (MD) as active in the NPI system.
What is SPENCER THOMAS BERTRAM (MD) best known for clinically?
Directory data describes SPENCER THOMAS BERTRAM (MD) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SPENCER THOMAS BERTRAM (MD)?
SPENCER THOMAS BERTRAM (MD)'s geographic hint is Midland, Michigan in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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