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MEGAN SUSANNE SPENCER DO
NPI 1457972499
Family Medicine in Dowagiac, MI

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
84.62/100
CMS Quality Rating
32652 KNO, DOWAGIAC, MI 49047(269) 782-4141(269) 783-1236 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Megan Susanne Spencer Do NPPES

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

MEGAN SUSANNE SPENCER DO (NPI 1457972499) is an individual family medicine provider in Dowagiac, Michigan, licensed in Michigan (5101027609) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1457972499
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMEGAN SUSANNE SPENCERCredential: DO
Location Address32652 KNODowagiac, MI 49047-9805
Mailing Address32652 KnoDowagiac, MI 49047-9805 · (269) 782-4141 · Fax (269) 783-1236
Phone(269) 782-4141
Fax(269) 783-1236
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 30, 2020
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1457972499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101027609
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
32652 KNO, Dowagiac, MI 49047
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Megan Susanne Spencer 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 ID6305277310
PECOS Enrollment IDI20231219001730
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.

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.
93 services56 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.
28 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231315
Location420 W High StDowagiac, MI 49047 · Cass County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49047 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.09
Promoting Interoperability100
Improvement Activities40
Cost50.64

Other Providers at the Same Location NPPES 10

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

AMBER GAUTHIER RN CDCES
Registered Nurse (Diabetes Educator)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 783-3187
DENISE LYNN SCHUE RPH
Pharmacist
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4570
JESSICA BORRELL RD
Dietitian, Registered
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
MISTY RAE LEDESMA NP-C
Nurse Practitioner (Primary Care)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
POKAGON BAND OF POTAWATOMI INDIANS
Social Worker
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
RHONDA MILARD LCSW
Social Worker (Clinical)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141
MADDISON LEE GOLDEN PHARMD
Pharmacist
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4570
EMILY ANN SOSSOMAN NP
Nurse Practitioner (Family)
32652 KNO
DOWAGIAC, MI 49047
Cass County (269) 782-4141

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 Megan Spencer's NPI number?

The NPI number for Megan Spencer is 1457972499. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Megan Spencer located?

Megan Spencer practices at 32652 Kno, Dowagiac, MI 49047. The listed phone number is (269) 782-4141.

What is Megan Spencer's specialty?

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

Is Megan Spencer enrolled in Medicare?

Yes. Megan 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 Megan Spencer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Megan 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 Megan Spencer affiliated with any hospitals?

According to CMS data, Megan Spencer is affiliated with Memorial Hospital Of South Bend, Lakeland Hospital, St Joseph, Corewell Health Watervliet Hospital, Ascension Borgess Lee Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Megan Spencer was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.