SPENCER L PENN (D.O.) – Emergency Medicine Physician, NPI 1245361187

SPENCER L PENN (D.O.) is a healthcare provider. based in Newtown square, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS013973 (PA). The NPI Number for SPENCER L PENN (D.O.) is 1245361187

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER L PENN (D.O.)
NPI
1245361187
Phone
(484) 420-2554
Address
15 CAMPUS BLVD
Enumeration Date
9 March 2007
Last Update Date
20 September 2016

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7172342561
Graduation Year
2004 (22 years ago)
PAC ID
6608922190
Group Practice PAC ID
8729351077
Professional Enrollment ID
I20090924000714
Address ID
PA170112204CA503XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for SPENCER L PENN (D.O.)

  • 15 CAMPUS BLVD

    SUITE 200

    NEWTOWN SQUARE, PA 190733200

    Phone: (484) 420-2554

    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 4 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($62).

Total Amount

$62

General + Research + Ownership

Payments

4

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

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: 2009-09-24

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
I20090924000714IEmergency MedicinePATBD

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
99285Emergency department visit with high level of medical decision making250247$0
99284Emergency department visit with moderate level of medical decision making123122$0
99283Emergency department visit with low level of medical decision making3030$0
99291Critical care, first 30-74 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 19073)

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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: 8729351077View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicinePA
Internal MedicinePA
Internal Medicine, HospitalistNY
-PA
Diagnostic RadiologyPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology), Critical Care (Intensivists)PA
Physician AssistantDE
Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyPA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Is SPENCER L PENN (D.O.) listed with a National Provider Identifier?
Yes — SPENCER L PENN (D.O.) has NPI 1245361187 on file in the registry.
Is SPENCER L PENN (D.O.) still an active registrant?
SPENCER L PENN (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with SPENCER L PENN (D.O.)?
SPENCER L PENN (D.O.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SPENCER L PENN (D.O.) located near Newtown Square?
SPENCER L PENN (D.O.) currently maps to Newtown Square, Pennsylvania in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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