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SPENCER OVERSEN
NPI 1063969947
Physician Assistant in Indianapolis, IN

Active since September 08, 2016PECOS EnrolledAccepts Medicare Assignment
919 CAMP ST, INDIANAPOLIS, IN 46202(574) 536-7119 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Feb 16, 2023, Jun 23, 2021 (3 updates tracked since 2021).

About Spencer Oversen NPPES

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

SPENCER OVERSEN (NPI 1063969947) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10002116A) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063969947
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSPENCER OVERSEN
Location Address919 CAMP STIndianapolis, IN 46202-3051
Mailing Address919 Camp StIndianapolis, IN 46202-3051 · (574) 536-7119
Phone(574) 536-7119
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 8, 2016
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1063969947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10002116A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
919 CAMP ST, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 N Ritter AveIndianapolis, IN 46219-3027 · Phone (317) 355-5457
Location 28402 Harcourt Rd Ste 125Indianapolis, IN 46260-2094 · Phone (317) 802-2000

Other Identifiers 1

Medicaid300017207IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Oversen 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 ID8921396003
PECOS Enrollment IDI20161005000245
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
101 services100 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
22 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Oversen's NPI number?

The NPI number for Spencer Oversen is 1063969947. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Spencer Oversen located?

Spencer Oversen practices at 919 Camp St, Indianapolis, IN 46202. The listed phone number is (574) 536-7119.

What is Spencer Oversen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Spencer Oversen enrolled in Medicare?

Yes. Spencer Oversen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Spencer Oversen accept?

Health plans from CareSource list Spencer Oversen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Oversen was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.