DR. KIPP W. SPENCER MD
NPI 1013390517
Internal Medicine in Willimantic, CT

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
40 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 450-7471 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Dr. Kipp W. Spencer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIPP W. SPENCER MD (NPI 1013390517) is an individual internal medicine provider in Willimantic, Connecticut, licensed in Connecticut (67616) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013390517
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KIPP W. SPENCERCredential: MD
Location Address40 MANSFIELD AVEWillimantic, CT 06226-2018
Mailing Address40 Mansfield AveWillimantic, CT 06226-2018 · (860) 450-7471
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 1, 2015
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
NPI 1013390517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 67616
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

40 MANSFIELD AVE, Willimantic, CT 06226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kipp W. Spencer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830508696
PECOS Enrollment IDI20220608001772
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner (Adult Health)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner (Adult Health)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner (Family)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Nurse Practitioner (Family)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Marriage & Family Therapist
40 MANSFIELD AVE
WILLIMANTIC, CT 06226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013390517, enumerated as an "individual" on July 01, 2015.

The provider is located at 40 MANSFIELD AVE WILLIMANTIC, CT 06226 and the phone number is (860) 450-7471.

Internal Medicine with taxonomy code 207R00000X.