DOUGLAS M SPENCE JR. MD
NPI 1790875649
Family Medicine in Traverse City, MI

Active since October 13, 2006PECOS Enrolled
1225 W FRONT ST, TRAVERSE CITY, MI 49684(231) 935-0788(231) 935-0787 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas M Spence Jr. Md NPPES

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

DOUGLAS M SPENCE JR. MD (NPI 1790875649) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (4301074856) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790875649
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS M SPENCE JR.Credential: MD
Location Address1225 W FRONT STTraverse City, MI 49684-2317
Mailing Address1225 W Front StTraverse City, MI 49684-2317 · (231) 935-0788 · Fax (231) 935-0787
Fax(231) 935-0787
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 30, 2011
NPI 1790875649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301074856
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.
1225 W FRONT ST, Traverse City, MI 49684

Other Identifiers 5

Medicare ID-Type UnspecifiedP08010002MI · Creekside Number
Medicaid4693261MI
Medicare UPING68522MI
Medicaid4319609MI
Medicare ID-Type Unspecified0B87604058MI · Urgent Care

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Douglas M Spence Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
224 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$20.00 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
3 suppliers45 claims45 services$105.33 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 13

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

Physical Therapist
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Physician Assistant
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Family Medicine (Sports Medicine)
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Physician Assistant
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Physical Therapist
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Family Medicine
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Physician Assistant
1225 W FRONT ST
TRAVERSE CITY, MI 49684
Family Medicine (Sports Medicine)
1225 W FRONT ST
TRAVERSE CITY, MI 49684

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 Douglas Spence's NPI number?

The NPI number for Douglas Spence is 1790875649. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Douglas Spence located?

Douglas Spence practices at 1225 W Front St, Traverse City, MI 49684. The listed phone number is (231) 935-0788.

What is Douglas Spence's specialty?

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

Is Douglas Spence enrolled in Medicare?

Yes. Douglas Spence is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Spence was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.