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EVAN SPENCER
NPI 1780215012
Urology in State College, PA

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
164 GREENVIEW DR STE 300, STATE COLLEGE, PA 16803(814) 238-8418(814) 234-2888 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Feb 23, 2021, Jan 27, 2020 (3 updates tracked since 2020).

About Evan Spencer NPPES

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

EVAN SPENCER (NPI 1780215012) is an individual urology provider in State College, Pennsylvania, licensed in Pennsylvania (MD489904) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Geisinger-lewistown Hospital, and maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1780215012
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameEVAN SPENCER
Location Address164 GREENVIEW DR STE 300State College, PA 16803-2106
Mailing Address155 Wellness WayState College, PA 16803-6797 · (814) 231-7000 · Fax (814) 231-7098
Phone(814) 238-8418
Fax(814) 234-2888
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 27, 2020
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1780215012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PA · MD489904
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
164 GREENVIEW DR STE 300, State College, PA 16803
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (123) 345-6789

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan Spencer 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 ID3971012402
PECOS Enrollment IDI20250604003824
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.

Medicare Billing Reassignment

Medicare enrollment records show Evan Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Nittany Medical Center Health Services Inc
0.8 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Evan Spencer's NPI number?

The NPI number for Evan Spencer is 1780215012. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Evan Spencer located?

Evan Spencer practices at 164 Greenview Dr Ste 300, State College, PA 16803. The listed phone number is (814) 238-8418.

What is Evan Spencer's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Evan Spencer enrolled in Medicare?

Yes. Evan 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.

Which organization bills Medicare for Evan Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Spencer reassigns Medicare benefits to Mount Nittany Medical Center Health Services Inc (State College, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Evan Spencer affiliated with any hospitals?

According to CMS data, Evan Spencer is affiliated with Geisinger-Lewistown Hospital, Penn Highlands Huntingdon, Penn Highlands Dubois, Mount Nittany Medical Center and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Evan Spencer was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.