SPENCER ROBERT ANDERSON (M.D.) – Plastic Surgery Physician, NPI 1982139176

SPENCER ROBERT ANDERSON (M.D.) is a healthcare provider. based in Kettering, Ohio. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 95455 (GA). The NPI Number for SPENCER ROBERT ANDERSON (M.D.) is 1982139176

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER ROBERT ANDERSON (M.D.)
NPI
1982139176
Phone
(937) 949-8457
Address
580 LINCOLN PARK BLVD STE 225
Enumeration Date
25 April 2017
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7063229313
Graduation Year
2017 (9 years ago)
PAC ID
6800165218
Group Practice PAC ID
2163601055
Professional Enrollment ID
I20230907000170
Address ID
GA319045640CO2522XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH

Provider Addresses for SPENCER ROBERT ANDERSON (M.D.)

  • 580 LINCOLN PARK BLVD STE 225

    KETTERING, OH 454293493

    Phone: (937) 949-8457

    Fax: (937) 949-8695

    Type: Location

  • East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    DEPT. ORTHOPAEDIC SURGERY, DIVISION OF PLASTIC SURGERY

    DAYTON, OH 45409

    Phone: (937) 208-4955

    Type: Mailing

  • 2522 WARM SPRINGS RD

    COLUMBUS, GA 319045640

    Phone: (706) 322-9313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $3,121.

Total Amount is formed as General ($3,121) + Research ($0) + Ownership ($0) = $3,121.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: RTI SURGICAL, INC ($1,364).

Total Amount

$3,121

General + Research + Ownership

Payments

45

Total payment records

General Amount

$3,121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-01-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230907000170IPlastic And Reconstructive SurgeryGATBD
I20260114000630IPlastic And Reconstructive SurgeryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45429)

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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: 2163601055View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryGA
-GA

Reviews

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Frequently asked questions

How do I look up SPENCER ROBERT ANDERSON (M.D.) by NPI?
Use NPI 1982139176 when you need to reference SPENCER ROBERT ANDERSON (M.D.) in forms, claims, or directories.
Is SPENCER ROBERT ANDERSON (M.D.)'s NPI currently valid?
The extract we use shows SPENCER ROBERT ANDERSON (M.D.) as active.
Can you summarize SPENCER ROBERT ANDERSON (M.D.)'s specialty in plain language?
Clinically, the directory lists SPENCER ROBERT ANDERSON (M.D.) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SPENCER ROBERT ANDERSON (M.D.)?
The snapshot lists Kettering, Ohio for SPENCER ROBERT ANDERSON (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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