SPENCER ROARK DDS
NPI 1023694460
Dentist - Oral and Maxillofacial Pathology in Nashville, TN

Q: What is Spencer Roark's NPI number?

The NPI number for Spencer Roark is 1023694460. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Spencer Roark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Roark was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2026, Jun 10, 2025, Jun 18, 2024 and 1 more (4 updates tracked since 2021).

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About Spencer Roark Dds NPPES

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

SPENCER ROARK DDS (NPI 1023694460) is an individual oral and maxillofacial pathology provider in Nashville, Tennessee, licensed in Tennessee (12728) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1023694460

Entity TypeIndividualMale

Primary Taxonomy1223P0106X

Provider Legal NameSPENCER ROARKCredential: DDS

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-1443

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691

Phone(615) 322-5000

Sole ProprietorNo

Medical School CMSLouisiana State University School Of DentistryGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1023694460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in TN · 12728

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Also ListedDentistTaxonomy 122300000X · License 019.033438 (IL)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 15841 S Maryland Ave # Mc3083Chicago, IL 60637-1443 · Phone (773) 834-7708

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Humana.Insurance ›

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

Spencer Roark Dds 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 ID7911443445

PECOS Enrollment IDI20250701002948

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)