DR. SPENCER BOWEN HENINGER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1790781292

DR. SPENCER BOWEN HENINGER (DPM) is a healthcare provider. based in Logan, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5336197-0501 (UT). The NPI Number for DR. SPENCER BOWEN HENINGER (DPM) is 1790781292

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SPENCER BOWEN HENINGER (DPM)
NPI
1790781292
Phone
(435) 787-2000
Address
2310 N 400 E
Enumeration Date
21 June 2005
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
20854733417503
Graduation Year
2002 (24 years ago)
PAC ID
6800823675
Group Practice PAC ID
7618365701
Professional Enrollment ID
I20070303000088
Address ID
ID832761559SO300XX3RDX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for DR. SPENCER BOWEN HENINGER (DPM)

  • North 400 East, Logan, Cache County, Utah, 84321, United States

    STE A

    LOGAN, UT 843411788

    Phone: (435) 787-2000

    Fax: (435) 787-1913

    Type: Mailing

  • 1030 S MEDICAL DR STE A

    BRIGHAM CITY, UT 843023119

    Phone: (435) 723-9700

    Fax: (435) 723-9710

    Type: Location

  • 2310 N 400 E Ste A

    North Logan, UT 843411796

    Phone: (435) 787-2000

    Fax: (435) 787-1913

    Type: Location

  • 1521 E 3900 S Ste 200

    Salt Lake City, UT 841241550

    Phone: (801) 262-8486

    Fax: (801) 284-8699

    Type: Location

  • North 400 East, North Logan, Cache County, Utah, 84341, United States

    STE A

    NORTH LOGAN, UT 843411788

    Phone: (435) 787-2000

    Fax: (435) 787-1913

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,036.

Total Amount is formed as General ($2,036) + Research ($0) + Ownership ($0) = $2,036.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Active Medical, LLC ($1,764).

Total Amount

$2,036

General + Research + Ownership

Payments

16

Total payment records

General Amount

$2,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2007-03-03

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
I20050726000329IPodiatryUTTBD
I20070303000088IPodiatryIDTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg16043$0
73630X-ray of foot, minimum of 3 views14876$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13844$0
99213Established patient office or other outpatient visit, 20-29 minutes4741$0
99214Established patient office or other outpatient visit, 30-39 minutes4735$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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Provider's Procedures

DR. SPENCER BOWEN HENINGER (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYUT11042Removal of skin and tissue first 20 sq cm or less19565
PODIATRYUT73630X-ray of foot, minimum of 3 views13374

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: 7618365701View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Nurse PractitionerUT
Physician AssistantID
A N E S T H E S I O L O G YNH
N E U R O S U R G E R YID
Orthopedic SurgeryUT
O T O L A R Y N G O L O G YCA
Cardiovascular Disease (Cardiology)ID
General Surgery, Critical Care (Intensivists), Internal MedicineID
Internal Medicine, Pediatric MedicineUT

Reviews

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Frequently asked questions

What is DR. SPENCER BOWEN HENINGER (DPM)'s NPI number?
DR. SPENCER BOWEN HENINGER (DPM)'s NPI is 1790781292 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. SPENCER BOWEN HENINGER (DPM)?
You should see DR. SPENCER BOWEN HENINGER (DPM) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. SPENCER BOWEN HENINGER (DPM)?
DR. SPENCER BOWEN HENINGER (DPM)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Utah is DR. SPENCER BOWEN HENINGER (DPM) registered?
Use Logan, Utah as the headline location for DR. SPENCER BOWEN HENINGER (DPM) here.
Does DR. SPENCER BOWEN HENINGER (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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