SPENCER JAMES CROSS MD
NPI 1083078398
Emergency Medicine in Hartford, CT
About Spencer James Cross Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER JAMES CROSS MD (NPI 1083078398) is an individual emergency medicine provider in Hartford, Connecticut, licensed in New Hampshire (34570) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Spencer James Cross 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.
Medicare Billing Reassignments
5Medicare enrollment records show Spencer Cross reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 100 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
North Conway, NH 03860
- Reassigned Medicare billing, New Hampshire enrollment
- 173 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 142 clinicians in this Medicare group
Alice, TX 78332
- Reassigned Medicare billing, Texas enrollment
- 174 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTFORD, CT 06105
HARTFORD, CT 06105
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 Cross's NPI number?
The NPI number for Spencer Cross is 1083078398. It was assigned to this individual provider in the NPPES registry on April 12, 2016.
Where is Spencer Cross located?
Spencer Cross practices at 114 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-4000.
What is Spencer Cross's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Spencer Cross enrolled in Medicare?
Yes. Spencer Cross 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.
Which organizations bill Medicare for Spencer Cross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Cross reassigns Medicare benefits to 5 organizations: Cep America LLC (Hartford, CT), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), Memorial Hospital (North Conway, NH), Bayhealth Emergency Physicians LLC (Dover, DE) and Gulf Coast Emergency Physicians, PLLC (Alice, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Spencer Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Spencer Cross accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and WellSense Health Plan list Spencer Cross 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 Cross was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Spencer James Cross, MD · NPI 1083078398
Emergency Medicine physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 12, 2016.
## Identity
- **NPI:** 1083078398 (Entity type: Individual)
- **Enumerated:** April 12, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 34570 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 WOODLAND ST, Hartford, CT 06105-1208
- **Phone:** (860) 714-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1609671114, Hartford, CT); Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT); Memorial Hospital (NPI 1700864709, North Conway, NH); Bayhealth Emergency Physicians LLC (NPI 1073012696, Dover, DE); Gulf Coast Emergency Physicians, PLLC (NPI 1972286920, Alice, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083078398) · Data from the CMS NPPES public registry.