DR. SPENCER SZETO MD
NPI 1831547959
Family Medicine in Chicago, IL

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
635 N DEARBORN ST STE 100, CHICAGO, IL 60654(312) 694-2273(312) 694-2129 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 22, 2023, Oct 12, 2021, Jul 23, 2019 (3 updates tracked since 2019).

About Dr. Spencer Szeto Md NPPES

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

DR. SPENCER SZETO MD (NPI 1831547959) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036149657) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1831547959
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SPENCER SZETOCredential: MD
Location Address635 N DEARBORN ST STE 100Chicago, IL 60654-4618
Mailing Address9977 Woods Dr Fl 1Skokie, IL 60077-1057 · (224) 736-4622 · Fax (847) 663-8290
Fax(312) 694-2129
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 31, 2016
Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
NPI 1831547959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036149657
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.
635 N DEARBORN ST STE 100, Chicago, IL 60654

Secondary Practice Location 1

Location 19977 Woods Dr Fl 1Skokie, IL 60077 · Phone (224) 736-4622 · Fax (847) 663-8290

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

Dr. Spencer Szeto 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 ID3779865183
PECOS Enrollment IDI20190730001414
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 19

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 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.
298 services272 patients
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.
204 services176 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
122 services110 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
66 services63 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
48 services45 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60654 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Physician Assistant
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Family Medicine
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner (Family)
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner
635 N DEARBORN ST STE 100
CHICAGO, IL 60654

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 Spencer Szeto's NPI number?

The NPI number for Spencer Szeto is 1831547959. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Spencer Szeto located?

Spencer Szeto practices at 635 N Dearborn St Ste 100, Chicago, IL 60654. The listed phone number is (312) 694-2273.

What is Spencer Szeto's specialty?

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

Is Spencer Szeto enrolled in Medicare?

Yes. Spencer Szeto 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.

Is Spencer Szeto affiliated with any hospitals?

According to CMS data, Spencer Szeto is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Spencer Szeto was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.