SPENCER TOMBERG (MD) – Sports Medicine (Emergency Medicine) Physician, NPI 1770825184

SPENCER TOMBERG (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 10288825-1205 (UT). The NPI Number for SPENCER TOMBERG (MD) is 1770825184

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER TOMBERG (MD)
NPI
1770825184
Phone
(801) 581-2730
Address
30 N 1900 E # 1C026
Enumeration Date
24 March 2013
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3034366000
Graduation Year
2013 (13 years ago)
PAC ID
7214206028
Group Practice PAC ID
4688583578
Professional Enrollment ID
I20180925001753
Address ID
CO802044507DE777XXSTXX300

Contacts

Secure Messaging
stomberg11963@direct.dhha.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

487 EMERGENCY MEDICINE in UT

Provider Addresses for SPENCER TOMBERG (MD)

  • 30 N 1900 E # 1C026

    Salt Lake City, UT 841324507

    Phone: (801) 581-2730

    Type: Location

  • 590 S Wakara Way

    Salt Lake City, UT 841081200

    Phone: (801) 587-5458

    Type: Location

  • 2632 W 34TH AVE

    DENVER, CO 802113306

    Phone: (720) 252-5744

    Type: Mailing

  • 777 BANNOCK ST

    DENVER, CO 802044597

    Phone: (303) 436-4949

    Fax: (303) 602-5184

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Getinge USA Sales, LLC ($49).

Total Amount

$49

General + Research + Ownership

Payments

2

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Getinge USA Sales, LLC$49
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: 2018-09-25

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
I20170711002365IEmergency MedicineUTTBD
I20180925001753IEmergency MedicineCOTBD

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 making5049$0
99284Emergency department visit with moderate level of medical decision making4544$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 4688583578View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)CO
-CO
-CO
P A T H O L O G YCO
Physician AssistantCO
Internal MedicineCO
P A T H O L O G YGA
-CO
Internal MedicineCO
Interventional RadiologyNY

Reviews

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Frequently asked questions

How do payers reference SPENCER TOMBERG (MD)?
For SPENCER TOMBERG (MD), use NPI 1770825184 as the unique 10-digit identifier.
Is SPENCER TOMBERG (MD) still an active registrant?
SPENCER TOMBERG (MD) carries an active NPI according to the public dataset.
What kind of doctor is SPENCER TOMBERG (MD)?
SPENCER TOMBERG (MD) is associated with Sports Medicine (Emergency Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is SPENCER TOMBERG (MD) associated with Salt Lake City?
Public fields place SPENCER TOMBERG (MD) around Salt Lake City, Utah. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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