DR. SPENSER REED MD
NPI 1205398799
Family Medicine in Park City, UT

Active since April 03, 2019PECOS EnrolledAccepts Medicare AssignmentCLIA 46D0998568 · Waiver
61.2/100
CMS Quality Rating
1790 SUN PEAK DR STE A101, PARK CITY, UT 84098(435) 645-0800 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, May 19, 2022, Apr 3, 2019 (3 updates tracked since 2019).

About Dr. Spenser Reed Md NPPES

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

DR. SPENSER REED MD (NPI 1205398799) is an individual family medicine provider in Park City, Utah, licensed in Utah (12624292-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 17, 2028, and is affiliated with University Of Utah Hospitals And Clinics.

NPPES Registry Identity

NPI1205398799
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SPENSER REEDCredential: MD
Location Address1790 SUN PEAK DR STE A101Park City, UT 84098-6624
Mailing Address1790 Sun Peak Dr Ste A101Park City, UT 84098-6624 · (435) 645-0800
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateSeptember 7, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
NPI 1205398799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 12624292-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1790 SUN PEAK DR STE A101, Park City, UT 84098

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. Spenser Reed 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.

PECOS PAC ID6507264983
PECOS Enrollment IDI20220825002365
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D0998568

Spenser Reed MD PLLC · Park City, UT
Active · expires Apr 17, 2028
CLIA Number46D0998568
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorSpencer Reed
Laboratory Phone(435) 645-0800
Laboratory LocationSpenser Reed MD PLLC1790 Sun Peak Dr Ste A-101, Park City, UT 84098
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 22

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.
392 services172 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.
198 services118 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
190 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
156 services102 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve G0513
Prolonged preventive service refers to an extended medical consultation or treatment beyond the usual time. This service, provided in an outpatient setting, involves direct patient contact for the first 30 minutes beyond the primary procedure. It's used when additional time is required to address preventive health needs.
151 services151 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code G0514
Prolonged preventive service refers to additional time spent on preventive care beyond the standard duration. This could involve further discussions on lifestyle recommendations, management of chronic conditions, or additional screenings. The service is charged for each additional 30 minutes of direct patient contact in an office or outpatient setting.
147 services147 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84098 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

61.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.79
Improvement Activities40
Cost18.96

Reported Quality Measures

Breast Cancer Screening
53%176 patients3/55-star benchmark: 93%
Cervical Cancer Screening
5%108 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
41%334 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
55%85 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
58%1,692 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%285 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%491 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
29%444 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%972 patients2/55-star benchmark: 61%
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

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

Family Medicine
1790 SUN PEAK DR STE A101
PARK CITY, UT 84098

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 Spenser Reed's NPI number?

The NPI number for Spenser Reed is 1205398799. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Spenser Reed located?

Spenser Reed practices at 1790 Sun Peak Dr Ste A101, Park City, UT 84098. The listed phone number is (435) 645-0800.

What is Spenser Reed's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Spenser Reed enrolled in Medicare?

Yes. Spenser Reed 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.

Does Spenser Reed hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0998568) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spenser Reed accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Spenser Reed 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 Spenser Reed affiliated with any hospitals?

According to CMS data, Spenser Reed is affiliated with University Of Utah Hospitals And Clinics, Intermountain Medical Center, St. George Regional Hospital, Park City Hospital and Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Spenser Reed was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.