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ELYSIA SOPHIA SPENCER MD
NPI 1861831273
Urology in Anchorage, AK

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
4315 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-2700 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elysia Sophia Spencer Md NPPES

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

ELYSIA SOPHIA SPENCER MD (NPI 1861831273) is an individual urology provider in Anchorage, Alaska, licensed in Alaska (147657) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2013).

NPPES Registry Identity

NPI1861831273
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameELYSIA SOPHIA SPENCERCredential: MD
Location Address4315 DIPLOMACY DRAnchorage, AK 99508-5926
Mailing Address336 Highland DrJuneau, AK 99801-1443 · (919) 951-5085
Phone(907) 729-2700
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2013
Enumeration DateJune 19, 2013
Last NPPES UpdateAugust 28, 2019
✔ NPI 1861831273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in AK · 147657✔ Licensed in NC · 201801258
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.
4315 DIPLOMACY DR, Anchorage, AK 99508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Elysia Sophia Spencer 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 ID5193940468
PECOS Enrollment IDI20190926003340
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 11

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
53 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services36 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.
34 services32 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.
26 services24 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.
21 services21 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.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,650 services$7.50 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 20

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

KATRINA F JOHNSON PT
Physical Therapist
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-2662
TERRI JEAN FARNUM RT
Respiratory Therapist, Certified
4315 DIPLOMACY DR, ATTN SHERRY REEDY
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3971
DR. REMI CRISTEN WILLIAMSON PHARMD, RPH
Pharmacist
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2117
CANDACE L CLAWSON MD
Family Medicine
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-1624
DR. JUDITH BETH THOMPSON PHARMD
Pharmacist (Pharmacotherapy)
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2164
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
General Acute Care Hospital
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3971
CHRISTINA M MARSH AGACNP-BC
Nurse Practitioner (Acute Care)
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2188
MICHAEL JAMES MCDONNELL MD
Radiology (Body Imaging)
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-2662

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 Elysia Spencer's NPI number?

The NPI number for Elysia Spencer is 1861831273. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Elysia Spencer located?

Elysia Spencer practices at 4315 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-2700.

What is Elysia Spencer's specialty?

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

Is Elysia Spencer enrolled in Medicare?

Yes. Elysia 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 Elysia Spencer accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Elysia 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.

When was this NPI record last updated?

The NPPES record for Elysia Spencer was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.