JOHN R SPENCER MD
NPI 1598720575
Family Medicine in Menasha, WI

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
2005 MIDWAY RD, MENASHA, WI 54952(920) 832-8500 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John R Spencer Md NPPES

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

JOHN R SPENCER MD (NPI 1598720575) is an individual family medicine provider in Menasha, Wisconsin, licensed in Wisconsin (35860-020) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1598720575
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN R SPENCERCredential: MD
Location Address2005 MIDWAY RDMenasha, WI 54952-7002
Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 29, 2012
NPI 1598720575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 35860-020
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.

2005 MIDWAY RD, Menasha, WI 54952

Other Identifiers 2

Medicare UPINF86479
Medicare ID-Type Unspecified003445003WI

Accepted 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

John R Spencer 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 ID5890824056
PECOS Enrollment IDI20100526000425
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 18

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
217 services127 patients
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.
195 services126 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
144 services105 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
136 services97 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.
92 services92 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
78 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 4

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
6 suppliers18 claims45 services$5.89 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
1 supplier13 claims13 services$17.93 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
1 supplier13 claims13 services$93.40 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims21 services$185.00 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 14

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

Family Medicine
2005 MIDWAY RD
MENASHA, WI 54952
Family Medicine
2005 MIDWAY RD
MENASHA, WI 54952
Nurse Practitioner (Family)
2005 MIDWAY RD
MENASHA, WI 54952
Family Medicine
2005 MIDWAY RD
MENASHA, WI 54952
Nurse Practitioner
2005 MIDWAY RD
MENASHA, WI 54952
Family Medicine
2005 MIDWAY RD
MENASHA, WI 54952
Nurse Practitioner
2005 MIDWAY RD
MENASHA, WI 54952
Family Medicine (Geriatric Medicine)
2005 MIDWAY RD
MENASHA, WI 54952

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 John Spencer's NPI number?

The NPI number for John Spencer is 1598720575. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is John Spencer located?

John Spencer practices at 2005 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 832-8500.

What is John Spencer's specialty?

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

Is John Spencer enrolled in Medicare?

Yes. John 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 John Spencer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list John 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 John Spencer affiliated with any hospitals?

According to CMS data, John Spencer is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for John Spencer was last updated on February 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.