SPENCER MERRICK MD
NPI 1568760023
Pediatrics in Salt Lake City, UT

Q: What is Spencer Merrick's NPI number?

The NPI number for Spencer Merrick is 1568760023. It was assigned to this individual provider in the NPPES registry on March 8, 2011.

Q: What is Spencer Merrick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Merrick was last updated on February 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 08, 2011PECOS EnrolledAccepts Medicare Assignment

81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 581-2121 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2025, Feb 4, 2019, Jan 11, 2018 (3 updates tracked since 2018).

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About Spencer Merrick Md NPPES

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

SPENCER MERRICK MD (NPI 1568760023) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (11149880-1205) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2017).

NPPES Registry Identity

NPI1568760023

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSPENCER MERRICKCredential: MD

Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125

Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2017

Enumeration DateMarch 8, 2011

Last NPPES UpdateFebruary 4, 20193 updates tracked since enumeration

✔ NPI 1568760023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 11149880-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedCounselorTaxonomy 101Y00000X

81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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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

Spencer Merrick 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 ID9234478645

PECOS Enrollment IDI20240718002641

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.

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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

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.

SARA GODY JACKSON BYBEE LCSW

Social Worker (Clinical)