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SPENSER INTERLICCHIO
NPI 1700738515
Hospitalist in Branson, MO

Active since February 12, 2026PECOS Enrolled
525 BRANSON LANDING BLVD, BRANSON, MO 65616(417) 335-7000 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spenser Interlicchio NPPES

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

SPENSER INTERLICCHIO (NPI 1700738515) is an individual hospitalist provider in Branson, Missouri, licensed in Missouri (2026007540) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Branson, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700738515
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSPENSER INTERLICCHIO
Location Address525 BRANSON LANDING BLVDBranson, MO 65616-2052
Mailing Address52 Miles Standish RdRotterdam, NY 12306-3323
Phone(417) 335-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 12, 2026
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1700738515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MO · 2026007540
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
525 BRANSON LANDING BLVD, Branson, MO 65616
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Secondary Practice Location 1

Location 1525 Branson Landing Blvd Ste 201ABranson, MO 65616-2052 · Phone (417) 335-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spenser Interlicchio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890279244
PECOS Enrollment IDI20260324001777
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 65616 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

KENZIE ALEXUS WOLFE PA
Physician Assistant
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Taney County (417) 335-7000
DR. LYNDA L LAPOSKY MD
Anesthesiology
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Taney County (417) 239-3392
WHITE RIVER ANESTHESIA ASSOCIATES, INC
Anesthesiology
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Taney County (417) 239-3392
THE SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Pharmacy (Community/Retail Pharmacy)
525 BRANSON LANDING BLVD, SUITE 1005
BRANSON, MO 65616
Taney County (417) 335-7700
ALLISON MEGHAN ABMA DO
Emergency Medicine
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Taney County (417) 335-7218
LACEY R VANEMBURG CRNA
Nurse Anesthetist, Certified Registered
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Taney County (417) 239-3392
DR. KEITH DELBERT SMITH DPT
Physical Therapist
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Taney County (417) 699-1513
DR. JERRY SAMUEL GIVENS M.D.
Urology
525 BRANSON LANDING BLVD, FERRELL DUNCAN CLINIC UROLOGY (SUITE 307)
BRANSON, MO 65616
Taney County (417) 335-7736

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 Spenser Interlicchio's NPI number?

The NPI number for Spenser Interlicchio is 1700738515. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Where is Spenser Interlicchio located?

Spenser Interlicchio practices at 525 Branson Landing Blvd, Branson, MO 65616. The listed phone number is (417) 335-7000.

What is Spenser Interlicchio's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Spenser Interlicchio enrolled in Medicare?

Yes. Spenser Interlicchio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spenser Interlicchio was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.