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DR. SPENCER EMIL LUDLOW M.D.
NPI 1114078797
Ophthalmology in Columbia, SC

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL, COLUMBIA, SC 29207(240) 441-3599 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Spencer Emil Ludlow M.d. NPPES

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

DR. SPENCER EMIL LUDLOW M.D. (NPI 1114078797) is an individual ophthalmology provider in Columbia, South Carolina, licensed in Nebraska (24632) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio Medical University (2006).

NPPES Registry Identity

NPI1114078797
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SPENCER EMIL LUDLOWCredential: M.D.
Location Address4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITALColumbia, SC 29207-5700
Mailing Address4500 Stuart StColumbia, SC 29207-5700
Phone(240) 441-3599
Sole ProprietorYes
Medical School CMSOhio Medical UniversityGraduated 2006
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 3, 2010
✔ NPI 1114078797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NE · 24632
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4500 STUART ST, Columbia, SC 29207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Dr. Spencer Emil Ludlow M.d. 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 ID8729204219
PECOS Enrollment IDI20140717002424
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
406 services387 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
228 services167 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
115 services112 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
110 services103 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
71 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29207 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
4%169 patients1/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
8%154 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%125 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
26%4,034 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%413 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
55%152 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%766 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 51% · 847 patients
Patients tobacco: 3% · 35 patients
48%847 patients2/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
96%222 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
4%766 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%766 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. MATTHEW WILLIAM PERKINS DPT
Physical Therapist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL / CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-2618
MS. JUDITH LYNN BENDER APN-C
Nurse Practitioner (Acute Care)
4500 STUART ST
COLUMBIA, SC 29207
Richland County (803) 562-2106
MS. JENNIFER BAILEY BAXTER APHN, BSN
Registered Nurse (Community Health)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-6931
MR. EUGENE PATRICK KISTLER PA-C
Physician Assistant (Medical)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Richland County (803) 751-2618
GARY STUART YON P.A.-C
Physician Assistant
4500 STUART ST, MONCRIEF ARMY HOSPITAL/ CREDENTIALS
COLUMBIA, SC 29207
Richland County (803) 751-2618
JOSHUA LAWLER
Nurse Practitioner (Family)
4500 STUART ST
COLUMBIA, SC 29207
Richland County (803) 751-2160
MONCRIEF ARMY COMMUNITY HOSPITAL
Military Hospital
4500 STUART ST
COLUMBIA, SC 29207
Richland County (803) 751-2385
MONCRIEF ARMY HOSPITAL
Military Hospital
4500 STUART ST
COLUMBIA, SC 29207
Richland County (803) 751-2253

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 Ludlow's NPI number?

The NPI number for Spencer Ludlow is 1114078797. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Spencer Ludlow located?

Spencer Ludlow practices at 4500 Stuart St Moncrief Army Community Hospital, Columbia, SC 29207. The listed phone number is (240) 441-3599.

What is Spencer Ludlow's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Spencer Ludlow enrolled in Medicare?

Yes. Spencer Ludlow 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 Ludlow accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Spencer Ludlow 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 Ludlow was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.