SPENCER SHASTID DO
NPI 1093336695
Internal Medicine in Tyler, TX
About Spencer Shastid Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER SHASTID DO (NPI 1093336695) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (U1378) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 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 Shastid Do 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
2Medicare enrollment records show Spencer Shastid reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 44 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 636 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 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXUt Health East Texas Athens Hospital
Acute Care Hospitals · Athens, TXBaylor Scott & White Texas Spine & Joint Hospital
Acute Care Hospitals · Tyler, TXUt Health East Texas Quitman Hospital
Critical Access Hospitals · Quitman, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Shastid's NPI number?
The NPI number for Spencer Shastid is 1093336695. It was assigned to this individual provider in the NPPES registry on May 5, 2020.
Where is Spencer Shastid located?
Spencer Shastid practices at 2737 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 592-6000.
What is Spencer Shastid's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Spencer Shastid enrolled in Medicare?
Yes. Spencer Shastid 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 Shastid's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Shastid reassigns Medicare benefits to 2 organizations: Charles R Gordon MD PA (Tyler, TX) and Etmc Physician Group Inc. (Tyler, 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 Shastid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Spencer Shastid accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Spencer Shastid 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.
Is Spencer Shastid affiliated with any hospitals?
According to CMS data, Spencer Shastid is affiliated with Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Athens Hospital, Baylor Scott & White Texas Spine & Joint Hospital and Ut Health East Texas Quitman Hospital.
When was this NPI record last updated?
The NPPES record for Spencer Shastid was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Shastid, DO · NPI 1093336695
Internal Medicine physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since May 5, 2020.
## Identity
- **NPI:** 1093336695 (Entity type: Individual)
- **Enumerated:** May 5, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** U1378 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2737 S BROADWAY AVE, Tyler, TX 75701-5445
- **Phone:** (903) 592-6000 · **Fax:** (903) 592-3224
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Charles R Gordon MD PA (NPI 1982717955, Tyler, TX); Etmc Physician Group Inc. (NPI 1609382662, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093336695) · Data from the CMS NPPES public registry.