DR. PATRICK L SPENCER D.O.
NPI 1861494304
Ophthalmology in Dayton, OH

Q: What is Patrick Spencer's NPI number?

The NPI number for Patrick Spencer is 1861494304. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Patrick Spencer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Spencer was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment

93.25/100

CMS Quality Rating

425 W GRAND AVE, STE 1002, DAYTON, OH 45405(937) 298-5536(937) 298-5596 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Patrick L Spencer D.o. NPPES

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

DR. PATRICK L SPENCER D.O. (NPI 1861494304) is an individual ophthalmology provider in Dayton, Ohio, licensed in Ohio (34-00-6232-S) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1861494304

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. PATRICK L SPENCERCredential: D.O.

Location Address425 W GRAND AVE, STE 1002Dayton, OH 45405-4775

Mailing Address425 W Grand Ave, Ste 1002Dayton, OH 45405-4775 · (937) 226-7870 · Fax (937) 226-7829

Phone(937) 298-5536

Fax(937) 298-5596

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1994

Enumeration DateAugust 15, 2005

Last NPPES UpdateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1861494304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 34-00-6232-S

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

425 W GRAND AVE, Dayton, OH 45405

Open in Google Maps ↗

Secondary Practice Location 1

Location 1330 Forest AveDayton, OH 45405-4536 · Phone (937) 723-4994 · Fax (937) 463-4244

Other Identifiers 1

Medicaid2050739OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Patrick L Spencer D.o. 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 ID9931251824

PECOS Enrollment IDI20090724000057

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 14

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

156 services153 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

145 services122 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

108 services104 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.

90 services44 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

83 services74 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

72 services46 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

60 services30 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

51 services32 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

48 services35 patients

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.

40 services40 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

38 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

23 services14 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

93.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

77.92

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

99%123 patients4/55-star benchmark: 100%

Complications After Cataract Surgery

Lower rates are better for this measure.

2%297 patients

Diabetes: Eye Exam

100%28 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

96%23 patients

Documentation of Current Medications in the Medical Record

100%76 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

95%44 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

87%2,636 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 47 patients

Patients totalRate: 0% · 47 patients

0%47 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

STEPHEN P YOUNG DO

Internal Medicine (Cardiovascular Disease)

425 W GRAND AVE, STE. 1003
DAYTON, OH 45405

Montgomery County (937) 226-7898

KEVIN M REID DO

Neuromusculoskeletal Medicine & OMM

425 W GRAND AVE, SUITE 2001
DAYTON, OH 45405

Montgomery County (937) 226-7887

DRS ALWAY BALAZS AND ASSOCIATES INC

Otolaryngology (Otolaryngic Allergy)

425 W GRAND AVE, SUITE 2003
DAYTON, OH 45405

Montgomery County (937) 723-5888

THOMAS F. GOODALL, D. O., INC.

Neurological Surgery

425 W GRAND AVE, SUITE 3003
DAYTON, OH 45405

Montgomery County (937) 226-7890

KEVIN M REID D O INC

Clinic/Center (Primary Care)

425 W GRAND AVE, SUITE 2001
DAYTON, OH 45405

Montgomery County (937) 226-7887

JAMES G LAWS, DO, INC.

Internal Medicine (Cardiovascular Disease)

425 W GRAND AVE, SUITE 2002
DAYTON, OH 45405

Montgomery County (937) 277-8326

ALLIANCE PHYSICIAN INC

Internal Medicine (Cardiovascular Disease)

425 W GRAND AVE, SUITE 1003
DAYTON, OH 45405

Montgomery County (937) 723-5898

ASTHMA AND EMPHYSEMA CENTER INC

Internal Medicine (Pulmonary Disease)

425 W GRAND AVE, SUITE 3004
DAYTON, OH 45405

Montgomery County (937) 222-9053

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 Patrick Spencer's NPI number?

The NPI number for Patrick Spencer is 1861494304. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Patrick Spencer located?

Patrick Spencer practices at 425 W Grand Ave Ste 1002, Dayton, OH 45405. The listed phone number is (937) 298-5536.

What is Patrick Spencer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Patrick Spencer enrolled in Medicare?

Yes. Patrick 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.

What insurance does Patrick Spencer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 7 other insurers list Patrick Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Patrick Spencer affiliated with any hospitals?

According to CMS data, Patrick Spencer is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Patrick Spencer was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.