MR. KENNETH LLOYD JR. SPENCER (PA) – Medical Physician Assistant, NPI 1356869549
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for MR. KENNETH LLOYD JR. SPENCER (PA)
2615, East Loren Street, Oak Grove, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658040507
Phone:
Type: Mailing
Cox Medical Center South, 3801, South National Avenue, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075210
Phone: (417) 880-1049
Fax: (417) 269-6573
Type: Location
815 PECAN GROVE RD E
SHERMAN, TX 750901768
Phone: (903) 892-2126
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $2,114.
Total Amount is formed as General ($2,114) + Research ($0) + Ownership ($0) = $2,114.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($475).
Total Amount
$2,114
General + Research + Ownership
Payments
78
Total payment records
General Amount
$2,114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200313000434 | I | Physician Assistant | FL | TBD |
| I20220517000971 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 513 | 79 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 139 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 86 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 134 | 98 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 124 | 93 | $0 |
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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