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PHILEMON THEOLOGOS SPENCER M.D.
NPI 1437348950
Emergency Medicine in Crossville, TN

Active since October 21, 2007PECOS EnrolledAccepts Medicare Assignment
421 S MAIN ST, CROSSVILLE, TN 38555(931) 484-9511 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2023, May 27, 2021, Mar 19, 2021 and 1 more (4 updates tracked since 2019).

About Philemon Theologos Spencer M.d. NPPES

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

PHILEMON THEOLOGOS SPENCER M.D. (NPI 1437348950) is an individual emergency medicine provider in Crossville, Tennessee, licensed in Tennessee (68295) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1437348950
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILEMON THEOLOGOS SPENCERCredential: M.D.
Location Address421 S MAIN STCrossville, TN 38555-5048
Mailing Address265 Brookview Centre Way Ste 203Knoxville, TN 37919-4053 · (800) 342-2898
Phone(931) 484-9511
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 21, 2007
Last NPPES UpdateJune 18, 20264 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1437348950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TN · 68295✔ Licensed in AZ · 54349
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 29845 (AL), 54349 (AZ)
421 S MAIN ST, Crossville, TN 38555
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Other Identifiers 1

MedicaidR9521AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

Philemon Theologos Spencer M.d. 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 ID1052443694
PECOS Enrollment IDI20230801003339
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
90 services89 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

LISA MARIE COONTZ
Nurse Practitioner (Family)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (865) 675-7522
RADIATION ONCOLOGY CARE ASSOCIATES
Specialist
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 456-8390
DR. THOMAS ARTHUR ALLINGHAM D.O.
Anesthesiology (Critical Care Medicine)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 459-7367
DR. RAGHU MALLAPURA PURUSHOTHAMA REDDY M.D
Internal Medicine
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
DR. KRISTAN MERTZ AHLER MD
Pathology (Anatomic Pathology & Clinical Pathology)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
BRICE HAMMONS FITCH CRNA
Nurse Anesthetist, Certified Registered
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
TROY LYNN MILLER MD
Radiology (Diagnostic Radiology)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9511
SHAWN JAMES BRUNELLE PA-C
Physician Assistant (Medical)
421 S MAIN ST
CROSSVILLE, TN 38555
Cumberland County (931) 456-7297

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 Philemon Spencer's NPI number?

The NPI number for Philemon Spencer is 1437348950. It was assigned to this individual provider in the NPPES registry on October 21, 2007.

Where is Philemon Spencer located?

Philemon Spencer practices at 421 S Main St, Crossville, TN 38555. The listed phone number is (931) 484-9511.

What is Philemon Spencer's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Philemon Spencer enrolled in Medicare?

Yes. Philemon Spencer 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 Philemon Spencer accept?

Health plans from Oscar Health Plan, Inc. list Philemon 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.

Is Philemon Spencer affiliated with any hospitals?

According to CMS data, Philemon Spencer is affiliated with Cumberland Medical Center and Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Philemon Spencer was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.