DR. SPENCER LARKIN M.D.
NPI 1235514282
Urology in Lexington, KY

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
740 S LIMESTONE STE B200, LEXINGTON, KY 40536(859) 257-3533(859) 257-6024 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2023, Jul 3, 2020, Jun 28, 2016 (3 updates tracked since 2016).

About Dr. Spencer Larkin M.d. NPPES

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

DR. SPENCER LARKIN M.D. (NPI 1235514282) is an individual urology provider in Lexington, Kentucky, licensed in Kentucky (53381) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1235514282
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SPENCER LARKINCredential: M.D.
Location Address740 S LIMESTONE STE B200Lexington, KY 40536-0293
Mailing AddressPo Box 990Danville, KY 40423-0990 · (859) 239-2318 · Fax (859) 239-6785
Fax(859) 257-6024
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015
Enumeration DateJuly 20, 2015
Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1235514282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in KY · 53381✔ Licensed in KY · R3833
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
740 S LIMESTONE STE B200, Lexington, KY 40536

Secondary Practice Location 1

Location 1800 Rose St, Room MN-283Lexington, KY 40536-0293 · Phone (859) 323-5057 · Fax (859) 257-6024

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Spencer Larkin 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 ID9739475179
PECOS Enrollment IDI20200708001009
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Spencer Larkin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
Family Medicine
510 N CAMP DICK RD
Lancaster, KY 40444
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

Other Providers at the Same Location NPPES 10

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

Physician Assistant
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Urology
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Nurse Practitioner (Family)
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Physician Assistant
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Urology
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Urology
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Urology
740 S LIMESTONE STE B200
LEXINGTON, KY 40536
Urology
740 S LIMESTONE STE B200
LEXINGTON, KY 40536

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 Larkin's NPI number?

The NPI number for Spencer Larkin is 1235514282. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Spencer Larkin located?

Spencer Larkin practices at 740 S Limestone Ste B200, Lexington, KY 40536. The listed phone number is (859) 257-3533.

What is Spencer Larkin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Spencer Larkin enrolled in Medicare?

Yes. Spencer Larkin 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.

Which organizations bill Medicare for Spencer Larkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Larkin reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Ephraim Mcdowell Health Resource, Inc. (Lancaster, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Spencer Larkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Larkin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Spencer Larkin 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 Larkin affiliated with any hospitals?

According to CMS data, Spencer Larkin is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Larkin was last updated on February 7, 2023. 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.