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DR. JACQUELINE M SPENCER DO
NPI 1306838669
Family Medicine in North Babylon, NY

Active since August 22, 2005PECOS Enrolled
1452 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 254-8500(631) 254-8503 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline M Spencer Do NPPES

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

DR. JACQUELINE M SPENCER DO (NPI 1306838669) is an individual family medicine provider in North Babylon, New York, licensed in New York (214310) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306838669
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACQUELINE M SPENCERCredential: DO
Location Address1452 DEER PARK AVENorth Babylon, NY 11703
Mailing Address4567 Crossroads Park Dr.Liverpool, NY 13088 · (315) 295-2100 · Fax (315) 295-2125
Phone(631) 254-8500
Fax(631) 254-8503
Sole ProprietorYes
Enumeration DateAugust 22, 2005
Last NPPES UpdateMarch 9, 2009
✔ NPI 1306838669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 214310
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.

1452 DEER PARK AVE, North Babylon, NY 11703
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Other Identifiers 5

Medicare UPINH25614
Medicare ID-Type Unspecified22V031NY · Indiv #
Medicare UPINH25614NY
Medicare PIN22V031
Medicaid02109855NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline M Spencer Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11703 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

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

JACQUELINE M SPENCER DO PC
Family Medicine
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 254-8500
EDGAR O BORRERO MD
Surgery
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 254-4433
TERMINI MEDICAL CARE, PC
Family Medicine (Adult Medicine)
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 254-4480
DR. ANTHONY TERMINI DO
Family Medicine
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Suffolk County (631) 254-4480

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 Jacqueline Spencer's NPI number?

The NPI number for Jacqueline Spencer is 1306838669. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Jacqueline Spencer located?

Jacqueline Spencer practices at 1452 Deer Park Ave, North Babylon, NY 11703. The listed phone number is (631) 254-8500.

What is Jacqueline Spencer's specialty?

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

Is Jacqueline Spencer enrolled in Medicare?

Yes. Jacqueline Spencer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Spencer was last updated on March 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.