SPENCER CLARK – Specialist, NPI 1033557269

SPENCER CLARK is a healthcare provider. based in Houston, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 008044 (AZ). The NPI Number for SPENCER CLARK is 1033557269

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER CLARK
NPI
1033557269
Phone
(832) 413-5302
Address
13333 NORTHWEST FWY STE 540
Enumeration Date
10 June 2013
Last Update Date
3 February 2021

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
4806107400
Graduation Year
2013 (13 years ago)
PAC ID
6507163987
Group Practice PAC ID
1850724386
Professional Enrollment ID
I20190730000704
Address ID
AZ850182718PH4200XRDXX429
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

988 DIAGNOSTIC RADIOLOGY in AZ

Provider Addresses for SPENCER CLARK

  • 13333 NORTHWEST FWY STE 540

    HOUSTON, TX 770406166

    Phone: (832) 413-5302

    Type: Mailing

  • 2323 W ROSE GARDEN LN

    PHOENIX, AZ 850272530

    Phone: (602) 521-6200

    Fax: (623) 842-5640

    Type: Location

  • 3300 NW EXPWY

    OKLAHOMA CITY, OK 731124418

    Phone: (405) 951-2277

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180612001821IDiagnostic RadiologyCATBD
I20190730000704IDiagnostic RadiologyAZTBD
I20241001003677IDiagnostic RadiologyUTTBD

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
A9585Injection, gadobutrol, 0.1 ml18,806238$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml17,257202$0
71045X-ray of chest, 1 view1,016937$0
77080Dxa bone density measurement of hip, pelvis, spine418418$0
70450Ct scan head or brain without contrast320313$0
View full utilization report →

Insurance plans in this area (ZIP 77040)

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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: 1850724386View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Diagnostic RadiologyAZ
Diagnostic RadiologyAZ
Interventional RadiologyAZ
Diagnostic RadiologyAZ
Diagnostic RadiologyWV
-AZ
Diagnostic RadiologyAZ
Diagnostic RadiologyVA
Diagnostic RadiologyAZ

Reviews

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Frequently asked questions

What is SPENCER CLARK's NPI number?
SPENCER CLARK's NPI is 1033557269 — the number used across U.S. healthcare to identify this provider.
Is SPENCER CLARK still an active registrant?
SPENCER CLARK carries an active NPI according to the public dataset.
What expertise is attributed to SPENCER CLARK?
SPENCER CLARK's specialty line reads Other Service Providers. Clinical services aligned with this taxonomy classification.
Is SPENCER CLARK associated with Houston?
Public fields place SPENCER CLARK around Houston, Texas. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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