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SPENCER CIANCOLA
NPI 1285295154
Physician Assistant in Bennington, VT

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment
140 HOSPITAL DR STE 111, BENNINGTON, VT 05201(802) 440-4077 Get Directions Write a Review

NPPES record last updated: December 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2021, Apr 30, 2021, Apr 17, 2020 and 1 more (4 updates tracked since 2019).

About Spencer Ciancola NPPES

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

SPENCER CIANCOLA (NPI 1285295154) is an individual physician assistant in Bennington, Vermont, licensed in Vermont (055.0031452) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Southwestern Vermont Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285295154
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSPENCER CIANCOLA
Location Address140 HOSPITAL DR STE 111Bennington, VT 05201-5010
Mailing Address100 Hospital DrBennington, VT 05201-5004
Phone(802) 440-4077
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 21, 2019
Last NPPES UpdateDecember 26, 20214 updates tracked since enumeration
NPPES CertifiedDecember 26, 2021
✔ NPI 1285295154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VT · 055.0031452
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 HOSPITAL DR STE 111, Bennington, VT 05201
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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

Spencer Ciancola 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 ID4688002918
PECOS Enrollment IDI20200319000687
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 3

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 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.
184 services179 patients
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.
61 services61 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05201 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

Other Providers at the Same Location NPPES

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

CAITLIN E DEBROS DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
140 HOSPITAL DR STE 111
BENNINGTON, VT 05201
Bennington County (802) 440-4295

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 Ciancola's NPI number?

The NPI number for Spencer Ciancola is 1285295154. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Spencer Ciancola located?

Spencer Ciancola practices at 140 Hospital Dr Ste 111, Bennington, VT 05201. The listed phone number is (802) 440-4077.

What is Spencer Ciancola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Spencer Ciancola enrolled in Medicare?

Yes. Spencer Ciancola 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 Ciancola accept?

Health plans from Anthem Blue Cross and Blue Shield list Spencer Ciancola 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 Ciancola affiliated with any hospitals?

According to CMS data, Spencer Ciancola is affiliated with Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Ciancola was last updated on December 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.