DR. SPENCER HODGINS M.D.
NPI 1194100792
Internal Medicine - Nephrology in West Springfield, MA

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
134 CAPITAL DR STE E, WEST SPRINGFIELD, MA 01089(413) 733-0010(413) 417-2978 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2022, Jun 30, 2020, Oct 29, 2018 (3 updates tracked since 2018).

About Dr. Spencer Hodgins M.d. NPPES

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

DR. SPENCER HODGINS M.D. (NPI 1194100792) is an individual nephrology provider in West Springfield, Massachusetts, licensed in Massachusetts (282312) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194100792
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SPENCER HODGINSCredential: M.D.
Location Address134 CAPITAL DR STE EWest Springfield, MA 01089-1320
Mailing AddressPo Box 366Ludlow, MA 01056-0366 · (413) 733-0010 · Fax (413) 417-2978
Fax(413) 417-2978
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 23, 2015
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
NPI 1194100792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MA · 282312
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
134 CAPITAL DR STE E, West Springfield, MA 01089

Other Identifiers 1

Medicaid110112114AMA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 Hodgins 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 ID5799095659
PECOS Enrollment IDI20200512002475
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
963 services233 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
418 services150 patients
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.
256 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
242 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
220 services153 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
120 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01089 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Physician Assistant
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Internal Medicine (Nephrology)
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Physician Assistant
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Internal Medicine (Nephrology)
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Internal Medicine (Nephrology)
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Internal Medicine (Nephrology)
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089
Nurse Practitioner
134 CAPITAL DR STE E
WEST SPRINGFIELD, MA 01089

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 Hodgins's NPI number?

The NPI number for Spencer Hodgins is 1194100792. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Spencer Hodgins located?

Spencer Hodgins practices at 134 Capital Dr Ste E, West Springfield, MA 01089. The listed phone number is (413) 733-0010.

What is Spencer Hodgins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Spencer Hodgins enrolled in Medicare?

Yes. Spencer Hodgins 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 Hodgins accept?

Health plans from Anthem Blue Cross and Blue Shield list Spencer Hodgins 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 Hodgins affiliated with any hospitals?

According to CMS data, Spencer Hodgins is affiliated with Cooley Dickinson Hospital Inc,the, Holyoke Medical Center, Baystate Wing Hospital, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Hodgins was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.