SPENSER RYAN SQUIRE MD
NPI 1851854897
Family Medicine in Draper, UT

Q: What is Spenser Squire's NPI number?

The NPI number for Spenser Squire is 1851854897. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Spenser Squire's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Spenser Squire was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment

12473 S MINUTEMAN DR, DRAPER, UT 84020(801) 495-7910(801) 495-7990 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Feb 2, 2023, Apr 8, 2019 (3 updates tracked since 2019).

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About Spenser Ryan Squire Md NPPES

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

SPENSER RYAN SQUIRE MD (NPI 1851854897) is an individual family medicine provider in Draper, Utah, licensed in Utah (12767284-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Saint Louis University School Of Medicine (2019).

NPPES Registry Identity

NPI1851854897

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSPENSER RYAN SQUIRECredential: MD

Location Address12473 S MINUTEMAN DRDraper, UT 84020-7870

Mailing Address12473 S Minuteman DrDraper, UT 84020-7870 · (801) 495-7910 · Fax (801) 495-7990

Phone(801) 495-7910

Fax(801) 495-7990

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2019

Enumeration DateApril 8, 2019

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1851854897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 12767284-1205

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.

12473 S MINUTEMAN DR, Draper, UT 84020

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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

Spenser Ryan Squire 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 ID9335477710

PECOS Enrollment IDI20221216002672

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 7

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.

119 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

100 services100 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.

33 services25 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

24 services24 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

20 services20 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460006

Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County

Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460044

Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County

Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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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.

BRADLEY PRESTWICH MD

Family Medicine