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DR. SPENCER WALKER EBERHARD DO
NPI 1376005553
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Nov 11, 2025, Mar 31, 2025 and 2 more (5 updates tracked since 2019).

About Dr. Spencer Walker Eberhard Do NPPES

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

DR. SPENCER WALKER EBERHARD DO (NPI 1376005553) is an individual neurology with special qualifications in child neurology provider in Salt Lake City, Utah, licensed in Utah (14202962-1204) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2019).

NPPES Registry Identity

NPI1376005553
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. SPENCER WALKER EBERHARDCredential: DO
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 662-1000
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1376005553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in UT · 14202962-1204
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-0970 · Fax (602) 933-4253
Location 2705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 944-4034 · Fax (317) 944-1476

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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 Walker Eberhard Do 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 ID8820322910
PECOS Enrollment IDI20250905003260
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 Spencer Eberhard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 20

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

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Eberhard's NPI number?

The NPI number for Spencer Eberhard is 1376005553. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Spencer Eberhard located?

Spencer Eberhard practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Spencer Eberhard's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Spencer Eberhard enrolled in Medicare?

Yes. Spencer Eberhard 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 organization bills Medicare for Spencer Eberhard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Eberhard reassigns Medicare benefits to University Of Utah Pediatric Services (Salt Lake City, UT). 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 Spencer Eberhard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Eberhard accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Spencer Eberhard 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 Spencer Eberhard was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.