SPENCER JOHNSON (MD) – Student in an Organized Health Care Education/Training Program, NPI 1760988588

SPENCER JOHNSON (MD) is a healthcare provider. based in Reno, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials MD. The NPI Number for SPENCER JOHNSON (MD) is 1760988588

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER JOHNSON (MD)
NPI
1760988588
Phone
Not provided
Address
1664 N VIRGINIA ST
Enumeration Date
2 April 2018
Last Update Date
2 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7753527200100
Graduation Year
2018 (8 years ago)
PAC ID
8224372511
Group Practice PAC ID
4981683976
Professional Enrollment ID
I20210728001144
Address ID
NV894366703SP3160XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

992 FAMILY PRACTICE in NV

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Provider Addresses for SPENCER JOHNSON (MD)

  • University of Nevada, Reno, 1664, North Virginia Street, Reno, Washoe County, Nevada, 89557, United States

    RENO, NV 895570001

    Phone:

    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 23 Open Payments records for all available years, with a total value of $372.

Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($241).

Total Amount

$372

General + Research + Ownership

Payments

23

Total payment records

General Amount

$372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

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: 2021-07-28

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
I20210728001144IFamily PracticeNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes436224$0
99497Advance care planning, first 30 minutes162160$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit151151$0
99215Established patient office or other outpatient visit, 40-54 minutes6444$0
G0008Administration of influenza virus vaccine3939$0
View full utilization report →

Insurance plans in this area (ZIP 89557)

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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: 4981683976View full group profile

Reviews

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Frequently asked questions

Is SPENCER JOHNSON (MD) listed with a National Provider Identifier?
Yes — SPENCER JOHNSON (MD) has NPI 1760988588 on file in the registry.
Is there an active status for SPENCER JOHNSON (MD)?
For scheduling context, SPENCER JOHNSON (MD) is shown as active in the registry.
How would a patient describe SPENCER JOHNSON (MD)'s focus?
For SPENCER JOHNSON (MD), the primary taxonomy reads as Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is SPENCER JOHNSON (MD) located near Reno?
SPENCER JOHNSON (MD) currently maps to Reno, Nevada in this extract.
Can I trust this NPI listing for SPENCER JOHNSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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