SPENCER LANCE DAVENPORT PA-C
NPI 1649553835
Physician Assistant - Medical in Ogden, UT

Q: What is Spencer Davenport's NPI number?

The NPI number for Spencer Davenport is 1649553835. It was assigned to this individual provider in the NPPES registry on September 23, 2011.

Q: What is Spencer Davenport's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Davenport was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 23, 2011PECOS EnrolledAccepts Medicare Assignment

4403 HARRISON BLVD STE 2600, OGDEN, UT 84403(801) 387-5620 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spencer Lance Davenport Pa-c NPPES

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

SPENCER LANCE DAVENPORT PA-C (NPI 1649553835) is an individual medical provider in Ogden, Utah, licensed in Utah (5929015-8906) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1649553835

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSPENCER LANCE DAVENPORTCredential: PA-C

Location Address4403 HARRISON BLVD STE 2600Ogden, UT 84403-3277

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 643-1108

Phone(801) 387-5620

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 23, 2011

Last NPPES UpdateAugust 10, 2021

NPPES CertifiedAugust 10, 2021

✔ NPI 1649553835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 5929015-8906

4403 HARRISON BLVD STE 2600, Ogden, UT 84403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Spencer Lance Davenport Pa-c 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 ID4385802081

PECOS Enrollment IDI20120227000816

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 4

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.

178 services132 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

32 services29 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.

31 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460061

Location201 West Layton ParkwayLayton, UT 84041 · Davis County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 16

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

IHC HEALTH SERVICES INC

Surgery