KATHERINE L SPENCER (OD) – Optometrist, NPI 1649242066

KATHERINE L SPENCER (OD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2422 (MN). The NPI Number for KATHERINE L SPENCER (OD) is 1649242066

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE L SPENCER (OD)
NPI
1649242066
Phone
Not provided
Address
8170 33RD AVE S
Enumeration Date
2 February 2006
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
6512912848
Graduation Year
1988 (38 years ago)
PAC ID
1254233828
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20120110000682
Address ID
MN551305302SA435XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for KATHERINE L SPENCER (OD)

  • 8170 33RD AVE S

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • 8325, Seasons Parkway, The Seasons, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551253477

    Phone: (651) 702-5300

    Type: Location

  • 34th Avenue South, Ericsson, Nokomis, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MAIL STOP 21110Q

    MINNEAPOLIS, MN 554401309

    Phone: (651) 702-5300

    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: 2012-01-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120110000682IOptometryMNTBD

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
92014Established patient complete exam of visual system106106$0
92012Established patient problem focused exam of visual system2018$0
92083Exam of visual field with extended testing1716$0
92133Imaging of optic nerve1714$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

What is the registry number for KATHERINE L SPENCER (OD)?
The registry entry for KATHERINE L SPENCER (OD) shows NPI 1649242066.
Should I treat KATHERINE L SPENCER (OD) as an active provider?
Patients and plans typically see KATHERINE L SPENCER (OD) as active in the national extract.
How should patients interpret KATHERINE L SPENCER (OD)'s specialty?
The extract shows Optometrist for KATHERINE L SPENCER (OD). Clinical services aligned with this taxonomy classification.
Is KATHERINE L SPENCER (OD) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, KATHERINE L SPENCER (OD) may be relevant to your search.
Who maintains KATHERINE L SPENCER (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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