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SPENCER HOOSTAL MD
NPI 1912528837
Internal Medicine in San Diego, CA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
4060 FOURTH AVE STE 505, SAN DIEGO, CA 92103(619) 298-1318 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Apr 17, 2024 (2 updates tracked since 2024).

About Spencer Hoostal Md NPPES

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

SPENCER HOOSTAL MD (NPI 1912528837) is an individual internal medicine provider in San Diego, California, licensed in California (A195569) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Minnesota Medical School (2019).

NPPES Registry Identity

NPI1912528837
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSPENCER HOOSTALCredential: MD
Location Address4060 FOURTH AVE STE 505San Diego, CA 92103-2121
Mailing Address4060 Fourth Ave Ste 505San Diego, CA 92103-2121
Phone(619) 298-1318
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2019
Enumeration DateMay 1, 2020
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1912528837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A195569
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A195569 (CA)
4060 FOURTH AVE STE 505, San Diego, CA 92103
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Secondary Practice Location 1

Location 14077 Fifth AveSan Diego, CA 92103-2105 · Phone (619) 260-7125

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

Spencer Hoostal 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 ID7214379775
PECOS Enrollment IDI20240529002945
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 3

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.
110 services95 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 2

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

KATHY NGUYEN-PHAM
Physician Assistant
4060 FOURTH AVE STE 505
SAN DIEGO, CA 92103
San Diego County (619) 298-1318
MARK D MOSSON M.D.
Internal Medicine
4060 FOURTH AVE STE 505
SAN DIEGO, CA 92103
San Diego County (619) 298-1318

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 Hoostal's NPI number?

The NPI number for Spencer Hoostal is 1912528837. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Spencer Hoostal located?

Spencer Hoostal practices at 4060 Fourth Ave Ste 505, San Diego, CA 92103. The listed phone number is (619) 298-1318.

What is Spencer Hoostal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Spencer Hoostal enrolled in Medicare?

Yes. Spencer Hoostal 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.

When was this NPI record last updated?

The NPPES record for Spencer Hoostal was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.