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MR. MARK ROHAN SPENCE
NPI 1952313173
Obstetrics & Gynecology in Miami, FL

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
1190 NW 95TH ST STE 203, MIAMI, FL 33150(305) 693-0000(888) 717-7671 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2022, Nov 6, 2021 (2 updates tracked since 2021).

About Mr. Mark Rohan Spence NPPES

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

MR. MARK ROHAN SPENCE (NPI 1952313173) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (ME-74724) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1994).

NPPES Registry Identity

NPI1952313173
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. MARK ROHAN SPENCE
Location Address1190 NW 95TH ST STE 203Miami, FL 33150-2064
Mailing Address1190 Nw 95th St Ste 203Miami, FL 33150-2064 · (305) 693-0000 · Fax (888) 717-7671
Phone(305) 693-0000
Fax(888) 717-7671
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1994
Enumeration DateAugust 13, 2006
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1952313173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME-74724
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License ME74724 (FL)
1190 NW 95TH ST STE 203, Miami, FL 33150
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Mark Rohan Spence M.d.

Other Identifiers 1

Medicaid255064400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AvMed, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Rohan Spence 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 ID2961486410
PECOS Enrollment IDI20251004000298
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mark Spence reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ob Hospitalist Group LLC
4.9 mi
Obstetrics & Gynecology
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1700655727 (864) 908-3530
Pediatrix Medical Group Of Florida Inc
20 mi
Pediatric Cardiology
1301 CONCORD TER
Sunrise, FL 33323
  • Reassigned Medicare billing, Florida enrollment
  • 236 clinicians in this Medicare group
NPI 1083711790 (954) 384-0175
Dhp Of Manatee PA
62 mi
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 clinicians in this Medicare group
NPI 1134771611 (561) 844-6300
Lakeland Regional Health Systems, Inc.
186 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33150 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
53%130 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
92%686 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%636 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 613 patients
Patients tobacco: 2% · 43 patients
91%613 patients4/55-star benchmark: 98%
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 4

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

HOLISTIC HEALTH &WELLNESS, LLC
Clinic/Center (Primary Care)
1190 NW 95TH ST STE 203
MIAMI, FL 33150
Miami-Dade County (727) 209-7801
FCHC
Internal Medicine
1190 NW 95TH ST STE 203
MIAMI, FL 33150
Miami-Dade County (786) 535-4679
JAMIELA MONIQUE KERSELLIUS
Nurse Practitioner (Family)
1190 NW 95TH ST STE 203
MIAMI, FL 33150
Miami-Dade County (561) 287-6009
FULL CIRCLE HEALTH CARE INC
Obstetrics & Gynecology
1190 NW 95TH ST STE 203
MIAMI, FL 33150
Miami-Dade County (305) 693-0000

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 Mark Spence's NPI number?

The NPI number for Mark Spence is 1952313173. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Mr. Mark Rohan Spence M.D..

Where is Mark Spence located?

Mark Spence practices at 1190 NW 95th St Ste 203, Miami, FL 33150. The listed phone number is (305) 693-0000.

What is Mark Spence's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Spence enrolled in Medicare?

Yes. Mark Spence 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.

Which organizations bill Medicare for Mark Spence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Spence reassigns Medicare benefits to 4 organizations: Ob Hospitalist Group LLC (North Miami Beach, FL), Pediatrix Medical Group Of Florida Inc (Sunrise, FL), Dhp Of Manatee PA (Mangonia Park, FL) and Lakeland Regional Health Systems, Inc. (Lakeland, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Spence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Spence accept?

Health plans from 22 Health, AvMed, CareSource, Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Mark Spence 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 Mark Spence was last updated on January 13, 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.