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ROBERT SPENCER DO
NPI 1346252855
Family Medicine in Caldwell, OH

Active since August 13, 2006PECOS Enrolled
304 MAIN STREET, CALDWELL CLINIC, CALDWELL, OH 43724(740) 732-2339(740) 732-2350 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Sep 17, 2024, Aug 4, 2020 and 2 more (5 updates tracked since 2020).

About Robert Spencer Do NPPES

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

ROBERT SPENCER DO (NPI 1346252855) is an individual family medicine provider in Caldwell, Ohio, licensed in Ohio (34-00-4380) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346252855
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT SPENCERCredential: DO
Location Address304 MAIN STREET, CALDWELL CLINICCaldwell, OH 43724-1396
Mailing Address47871 Seneca Lake RdSarahsville, OH 43779-9794 · (740) 525-0422
Phone(740) 732-2339
Fax(740) 732-2350
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateMay 5, 20255 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1346252855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34-00-4380
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.
304 MAIN STREET, Caldwell, OH 43724
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert 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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Selby General Hospital
Same address
Rural Health
304 MAIN ST
Caldwell, OH 43724
  • Reassigned Medicare billing, Ohio enrollment
  • 105 clinicians in this Medicare group
NPI 1568261972 (740) 374-4273

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 7

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.
297 services163 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.
106 services81 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
105 services13 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
103 services15 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.
36 services36 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43724 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers68 claims149 services$5.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers23 claims44 services$0.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$19.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers53 claims53 services$108.13 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims3,750 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers20 claims20 services$20.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

CALDWELL CLINIC
Family Medicine
304 MAIN STREET
CALDWELL, OH 43724
Noble County (740) 732-2339
ABIGAIL E DAVIS CNP
Nurse Practitioner (Family)
304 MAIN STREET
CALDWELL, OH 43724
Noble County (740) 732-2339

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 Robert Spencer's NPI number?

The NPI number for Robert Spencer is 1346252855. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Robert Spencer located?

Robert Spencer practices at 304 Main Street Caldwell Clinic, Caldwell, OH 43724. The listed phone number is (740) 732-2339.

What is Robert Spencer's specialty?

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

Is Robert Spencer enrolled in Medicare?

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

Which organization bills Medicare for Robert Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Spencer reassigns Medicare benefits to Selby General Hospital (Caldwell, OH). The 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 Robert Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Spencer accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Robert Spencer 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.

When was this NPI record last updated?

The NPPES record for Robert Spencer was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.