MARK SPENCER MD
NPI 1255837902
Orthopaedic Surgery in Augusta, ME

Q: What is Mark Spencer's NPI number?

The NPI number for Mark Spencer is 1255837902. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Mark Spencer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Spencer was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment

15 ENTERPRISE DR, AUGUSTA, ME 04330(207) 621-8700 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark Spencer Md NPPES

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

MARK SPENCER MD (NPI 1255837902) is an individual orthopaedic surgery provider in Augusta, Maine, licensed in Maine (MD27927) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1255837902

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK SPENCERCredential: MD

Location Address15 ENTERPRISE DRAugusta, ME 04330-7997

Mailing Address15 Enterprise DrAugusta, ME 04330-7997 · (207) 621-8700

Phone(207) 621-8700

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2018

Enumeration DateApril 2, 2018

Last NPPES UpdateSeptember 9, 2024

NPPES CertifiedSeptember 9, 2024

✔ NPI 1255837902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in ME · MD27927

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

15 ENTERPRISE DR, Augusta, ME 04330

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Secondary Practice Location 1

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-7692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mark Spencer 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 ID8426307075

PECOS Enrollment IDI20241030002243

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number200039

Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

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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.

WENDY CLAVEAU

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