SPENCER WADE
NPI 1295296291
Internal Medicine in Cincinnati, OH

Q: What is Spencer Wade's NPI number?

The NPI number for Spencer Wade is 1295296291. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Q: What is Spencer Wade's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Wade was last updated on September 6, 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.

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment

82.7/100

CMS Quality Rating

9070 WINTON RD, CINCINNATI, OH 45231(513) 246-2750 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Spencer Wade NPPES

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

SPENCER WADE (NPI 1295296291) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (34.014873) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1295296291

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSPENCER WADE

Location Address9070 WINTON RDCincinnati, OH 45231-3828

Mailing Address9070 Winton RdCincinnati, OH 45231-3828 · (513) 246-2750

Phone(513) 246-2750

Sole ProprietorNo

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2019

Enumeration DateMarch 31, 2019

Last NPPES UpdateSeptember 6, 2022

NPPES CertifiedSeptember 6, 2022

✔ NPI 1295296291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 34.014873

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

9070 WINTON RD, Cincinnati, OH 45231

Open in Google Maps ↗

Secondary Practice Location 1

Location 12139 Auburn AveCincinnati, OH 45219-2906 · Phone (513) 585-0855

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Wade 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 ID7012316375

PECOS Enrollment IDI20220919001131

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 15

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 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.

416 services220 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

152 services152 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

56 services51 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

44 services35 patients

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.

30 services28 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422

This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.

28 services25 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

23 services23 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

21 services21 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.

21 services20 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services11 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services11 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45231 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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.

82.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.86

Promoting Interoperability

Improvement Activities

Cost

74.66

Other Providers at the Same Location NPPES 9

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

DR. KIRA ANN ZIMMERLY M.D

Pediatrics

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (513) 522-7600

DR. JOHN ROBINSON JR. MD

Pediatrics

9070 WINTON RD, SUITE 130
CINCINNATI, OH 45231

Hamilton County (513) 246-7000

DR. KEVIN BUDKE MD

Internal Medicine

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (513) 246-7000

DR. MELANIE SPAEDY MD

Internal Medicine

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (513) 522-7600

TRIHEALTH G., LLC

Internal Medicine

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (513) 246-7000

KAREN E SZCZEPANSKI M.D.

Pediatrics

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (513) 246-7000

DR. MARY ELAINE BILLMIRE MD

Pediatrics

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (513) 246-7000

CINCINNATI CHILDREN'S SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

9070 WINTON RD
CINCINNATI, OH 45231

Hamilton County (713) 489-2198

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 Wade's NPI number?

The NPI number for Spencer Wade is 1295296291. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Spencer Wade located?

Spencer Wade practices at 9070 Winton Rd, Cincinnati, OH 45231. The listed phone number is (513) 246-2750.

What is Spencer Wade's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Spencer Wade enrolled in Medicare?

Yes. Spencer Wade 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 Wade accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Spencer Wade 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 Wade affiliated with any hospitals?

According to CMS data, Spencer Wade is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Spencer Wade was last updated on September 6, 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.