DR. PAUL J SPENCER (D.O.) – Family Medicine Physician, NPI 1376544650
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for DR. PAUL J SPENCER (D.O.)
White Bear Lake, Dellwood, White Bear Township, Ramsey County, Minnesota, United States
WHITE BEAR LAKE, MN 55110
Phone: (651) 653-0062
Fax: (651) 653-0288
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $518.
Total Amount is formed as General ($518) + Research ($0) + Ownership ($0) = $518.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Phadia US Inc. ($91).
Total Amount
$518
General + Research + Ownership
Payments
30
Total payment records
General Amount
$518
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phadia US Inc. | $91 |
| Medtronic, Inc. | $47 |
| Exact Sciences Corporation | $40 |
| Cranial Technologies, Inc | $35 |
| GlaxoSmithKline, LLC. | $29 |
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: 2010-08-14
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 |
|---|---|---|---|---|
| I20100814000165 | I | Family Practice | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 133 | 16 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 87 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 45 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 50 | 36 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 48 | 35 | $0 |
Insurance plans in this area (ZIP 55110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | MN |
Reviews
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