SPENCER HOPKINS DO
NPI 1215498266
Emergency Medicine in Dublin, OH

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
6905 HOSPITAL DR STE 130, DUBLIN, OH 43016(614) 923-0300(614) 923-0400 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2022, May 18, 2022 (2 updates tracked since 2022).

About Spencer Hopkins Do NPPES

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

SPENCER HOPKINS DO (NPI 1215498266) is an individual emergency medicine provider in Dublin, Ohio, licensed in Ohio (34.015600) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215498266
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSPENCER HOPKINSCredential: DO
Location Address6905 HOSPITAL DR STE 130Dublin, OH 43016-9600
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (419) 520-2495
Fax(614) 923-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 30, 2019
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
NPI 1215498266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 34.015600
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6905 HOSPITAL DR STE 130, Dublin, OH 43016

Other Identifiers 1

Medicaid0481791OH

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

Spencer Hopkins 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.

PECOS PAC ID6002143914
PECOS Enrollment IDI20220413002600
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
257 services254 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
75 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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.

Family Medicine
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Nurse Practitioner (Family)
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Nurse Practitioner (Family)
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Emergency Medicine
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Nurse Practitioner (Family)
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Nurse Practitioner (Family)
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Nurse Practitioner (Family)
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016
Physician Assistant
6905 HOSPITAL DR STE 130
DUBLIN, OH 43016

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 Hopkins's NPI number?

The NPI number for Spencer Hopkins is 1215498266. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Spencer Hopkins located?

Spencer Hopkins practices at 6905 Hospital Dr Ste 130, Dublin, OH 43016. The listed phone number is (614) 923-0300.

What is Spencer Hopkins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Spencer Hopkins enrolled in Medicare?

Yes. Spencer Hopkins 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 Hopkins accept?

Health plans from CareSource list Spencer Hopkins 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 Hopkins affiliated with any hospitals?

According to CMS data, Spencer Hopkins is affiliated with Riverside Methodist Hospital, Grant Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Hopkins was last updated on December 9, 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.