SPENCER D BERRY MD
NPI 1215954219
Family Medicine in Fargo, ND

Q: What is Spencer Berry's NPI number?

The NPI number for Spencer Berry is 1215954219. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Spencer Berry's specialty?

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

Q: Is Spencer Berry enrolled in Medicare?

No. Spencer Berry has opted out of Medicare through August 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Spencer Berry was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 16, 2006Opted out of Medicare · through Aug 19, 2028

3175 SIENNA DR S, 103, FARGO, ND 58104(701) 205-3088(701) 335-7808 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Spencer D Berry Md NPPES

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

SPENCER D BERRY MD (NPI 1215954219) is an individual family medicine provider in Fargo, North Dakota, licensed in North Dakota (7514) and active in the NPI registry since July 2006. He has opted out of Medicare through August 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215954219

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSPENCER D BERRYCredential: MD

Location Address3175 SIENNA DR S, 103Fargo, ND 58104-8910

Mailing Address3175 Sienna Dr S, 103Fargo, ND 58104-8910 · (701) 205-3088 · Fax (701) 335-7808

Phone(701) 205-3088

Fax(701) 335-7808

Sole ProprietorYes

Enumeration DateJuly 16, 2006

Last NPPES UpdateMarch 14, 2012

✔ NPI 1215954219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ND · 7514

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.

3175 SIENNA DR S, Fargo, ND 58104

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Other Identifiers 1

Medicare UPIND25167

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Spencer D Berry Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2016 through August 19, 2028.

Opt-Out Effective DateAugust 19, 2016

Opt-Out In Effect ThroughAugust 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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 2

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

NICHOLE ROSE JACKSON NP-C

Nurse Practitioner

3175 SIENNA DR S
FARGO, ND 58104

Cass County (701) 205-3088

DR. KAMERON PETERS D.C.

Chiropractor

3175 SIENNA DR S, SUITE 105
FARGO, ND 58104

Cass County (218) 686-4694

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 Berry's NPI number?

The NPI number for Spencer Berry is 1215954219. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Spencer Berry located?

Spencer Berry practices at 3175 Sienna Dr S 103, Fargo, ND 58104. The listed phone number is (701) 205-3088.

What is Spencer Berry's specialty?

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

Is Spencer Berry enrolled in Medicare?

No. Spencer Berry has opted out of Medicare through August 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Spencer Berry was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.