MR. STEPHEN SPENCER AUSTAD (DO) – Dermatology Physician, NPI 1679869119

MR. STEPHEN SPENCER AUSTAD (DO) is a healthcare provider. based in Roy, Utah. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 942 (NE). The NPI Number for MR. STEPHEN SPENCER AUSTAD (DO) is 1679869119

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN SPENCER AUSTAD (DO)
NPI
1679869119
Phone
(801) 644-6019
Address
2338 W 5700 S
Enumeration Date
23 June 2011
Last Update Date
26 December 2023

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9076468500
Graduation Year
2011 (15 years ago)
PAC ID
4082098066
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20251103001721
Address ID
AK995084673AN3841XSTXX309
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:14State licenses:2Digital endpointsOther names

366 DERMATOLOGY in AZ

Provider Addresses for MR. STEPHEN SPENCER AUSTAD (DO)

  • 2338 W 5700 S

    ROY, UT 840671519

    Phone: (801) 644-6019

    Type: Mailing

  • GROUP AID STATION, MCAS YUMA

    YUMA, AZ 85369

    Phone: (928) 269-5479

    Type: Location

  • 1815 E 19TH ST STE B

    THE DALLES, OR 970583385

    Phone: (801) 644-6019

    Type: Mailing

  • 123 C AVE

    LAKE OSWEGO, OR 970342353

    Phone: (541) 316-6575

    Fax: (541) 210-8913

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $2,111.

Total Amount is formed as General ($2,111) + Research ($0) + Ownership ($0) = $2,111.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($327).

Total Amount

$2,111

General + Research + Ownership

Payments

86

Total payment records

General Amount

$2,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2025-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20220825002969IDermatologyCATBD
I20221121002343IDermatologyORTBD
I20240205001989IDermatologyWATBD
I20251103001721IDermatologyAKTBD

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
17003Destruction of precancer skin growth, 2-14 growths22345$0
17000Destruction of precancer skin growth, 1 growth6863$0
99213Established patient office or other outpatient visit, 20-29 minutes6554$0
99203New patient office or other outpatient visit, 30-44 minutes5959$0
17110Destruction of skin growth, 1-14 growths5542$0
View full utilization report →

Insurance plans in this area (ZIP 84067)

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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: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

Can I verify MR. STEPHEN SPENCER AUSTAD (DO) with an NPI only?
You can start verification with NPI 1679869119 for MR. STEPHEN SPENCER AUSTAD (DO), then check state licensing separately.
Is MR. STEPHEN SPENCER AUSTAD (DO) still practicing?
MR. STEPHEN SPENCER AUSTAD (DO) is currently listed as active in the public NPI registry.
What is MR. STEPHEN SPENCER AUSTAD (DO)'s specialty?
The listing groups MR. STEPHEN SPENCER AUSTAD (DO) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does MR. STEPHEN SPENCER AUSTAD (DO) list a practice location?
Patients near Roy, Utah may find MR. STEPHEN SPENCER AUSTAD (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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