DR. SPENCER TRUMAN LAKE MD
NPI 1316203607
Radiology - Diagnostic Radiology in Tacoma, WA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
1304 FAWCETT AVE STE 100, TACOMA, WA 98402(253) 761-4200(253) 761-4201 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2019, Aug 15, 2018, May 25, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Spencer Truman Lake Md NPPES

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

DR. SPENCER TRUMAN LAKE MD (NPI 1316203607) is an individual diagnostic radiology provider in Tacoma, Washington, licensed in Washington (MD60852353) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Kaiser Permanente Central Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316203607
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SPENCER TRUMAN LAKECredential: MD
Location Address1304 FAWCETT AVE STE 100Tacoma, WA 98402
Mailing AddressPo Box 1535Tacoma, WA 98401-1535 · (253) 761-4200 · Fax (253) 383-3553
Fax(253) 761-4201
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1316203607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in WA · MD60852353✔ Licensed in OR · MD190332
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1304 FAWCETT AVE STE 100, Tacoma, WA 98402

Secondary Practice Locations 3

Location 1209 Martin Luther King Jr WayTacoma, WA 98405-4267 · Phone (253) 596-3300 · Fax (253) 596-3301
Location 22502 S Union AveTacoma, WA 98405-1328 · Phone (253) 761-9482 · Fax (253) 759-6252
Location 3222 15th Ave SEPuyallup, WA 98372-3754 · Phone (253) 841-4353 · Fax (253) 583-8630

Other Identifiers 5

Medicaid2101564WA
Other0391227WA · Lni-uaom
Other0391226WA · Lni-tra King County
Other0391228WA · Lni-dinw
Other0391224WA · Lni-tra Rest Of Wa

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 Truman Lake 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 ID5395994172
PECOS Enrollment IDI20180613001458
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

6

Medicare enrollment records show Spencer Lake reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
1304 FAWCETT AVE STE 100
Tacoma, WA 98402
  • Reassigned Medicare billing, Washington enrollment
  • 137 clinicians in this Medicare group
Ophthalmology
502 S M ST
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 589 clinicians in this Medicare group
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 133 clinicians in this Medicare group
Radiology
2502 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 137 clinicians in this Medicare group
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Diagnostic Radiology
1001 POTRERO AVENUE BLDG 5, 1ST FL
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 336 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.

Areas of Expertise CMS Part B claims 31

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,055 services44 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,360 services17 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
421 services385 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
156 services154 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
103 services93 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.
94 services93 patients

Hospital Affiliations CMS Care Compare

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

Kaiser Permanente Central Hospital

Acute Care Hospitals · Seattle, WA
OwnershipVoluntary non-profit - Other
CMS Certification Number500052
Location201 - 16th Avenue EastSeattle, WA 98112 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Vascular & Interventional Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Clinic/Center (Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Radiology (Diagnostic Radiology)
1304 FAWCETT AVE STE 100
TACOMA, WA 98402

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 Lake's NPI number?

The NPI number for Spencer Lake is 1316203607. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Spencer Lake located?

Spencer Lake practices at 1304 Fawcett Ave Ste 100, Tacoma, WA 98402. The listed phone number is (253) 761-4200.

What is Spencer Lake's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Spencer Lake enrolled in Medicare?

Yes. Spencer Lake 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 Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Lake reassigns Medicare benefits to 6 organizations: Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance (Tacoma, WA), Proliance Surgeons, Inc., P.S. (Tacoma, WA), Union Avenue Open Mri LLC (Tacoma, WA), Tra-Minw P S (Tacoma, WA), Kaiser Foundation Health Plan Of Washington (Renton, WA) and 1 more organization, listed in the Medicare section above. 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 Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Lake accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Spencer Lake 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 Lake affiliated with any hospitals?

According to CMS data, Spencer Lake is affiliated with Kaiser Permanente Central Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Lake was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.