NICHOLAS RYAN SPENCER (M.D.) – Obstetrics & Gynecology Physician, NPI 1699121665

NICHOLAS RYAN SPENCER (M.D.) is a healthcare provider. based in Austin, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. S8496 (TX). The NPI Number for NICHOLAS RYAN SPENCER (M.D.) is 1699121665

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS RYAN SPENCER (M.D.)
NPI
1699121665
Phone
(128) 212-5405
Address
12200 RENFERT WAY STE G-3
Enumeration Date
10 May 2016
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
5128212540
Graduation Year
2016 (10 years ago)
PAC ID
1557640646
Group Practice PAC ID
1254478951
Professional Enrollment ID
I20201111001037
Address ID
TX787585654AU12200WAYX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for NICHOLAS RYAN SPENCER (M.D.)

  • 12200 RENFERT WAY STE G-3

    AUSTIN, TX 787585654

    Phone: (128) 212-5405

    Fax: (512) 973-3533

    Type: Mailing

  • 301 UNIVERSITY BLVD

    GALVESTON, TX 775550587

    Phone: (409) 747-4952

    Fax: (409) 747-4947

    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: 2020-11-11

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
I20201111001037IObstetrics/GynecologyTXTBD

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 78758)

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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: 1254478951View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

How do I look up NICHOLAS RYAN SPENCER (M.D.) by NPI?
Use NPI 1699121665 when you need to reference NICHOLAS RYAN SPENCER (M.D.) in forms, claims, or directories.
Is NICHOLAS RYAN SPENCER (M.D.) active in the national directory?
NICHOLAS RYAN SPENCER (M.D.)'s public NPI profile is in an active state.
Does NICHOLAS RYAN SPENCER (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for NICHOLAS RYAN SPENCER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS RYAN SPENCER (M.D.)?
We surface Austin, Texas for NICHOLAS RYAN SPENCER (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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