SPENCER FULLER (MD, MPH) – Retina Specialist (Ophthalmology) Physician, NPI 1124513023
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
141 OPHTHALMOLOGY in NV
Provider Addresses for SPENCER FULLER (MD, MPH)
5449 RENO CORPORATE DR STE 200
RENO, NV 895112626
Phone: (775) 737-9411
Type: Mailing
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
INTERNAL MEDICINE CAMPUS BOX 8121
SAINT LOUIS, MO 631101010
Phone: (314) 362-5000
Type: Mailing
ONE BARNES-JEWISH HOSPITAL PLAZA
ST. LOUIS, MO 63110
Phone: (315) 362-5000
Type: Location
65 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 841320005
Phone: (801) 316-8910
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Genentech USA, Inc. ($333).
Total Amount
$929
General + Research + Ownership
Payments
16
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $333 |
| Alcon Vision LLC | $230 |
| Apellis Pharmaceuticals, Inc. | $171 |
| Astellas Pharma US Inc | $124 |
| EyePoint Pharmaceuticals US, Inc. | $39 |
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: 2024-05-15
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 |
|---|---|---|---|---|
| I20220603000552 | I | Ophthalmology | UT | TBD |
| I20240515001396 | I | Ophthalmology | NV | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 39 | 39 | $0 |
| 67028 | Injection of drug into eye | 32 | 32 | $0 |
Insurance plans in this area (ZIP 89511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | NV | |
| Physician Assistant | NV |
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