DR. TODD A SPENCER M.D.
NPI 1952343857
Surgery - Vascular Surgery in Dallas, TX

Q: What is Todd Spencer's NPI number?

The NPI number for Todd Spencer is 1952343857. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: Where is Todd Spencer located?

Todd Spencer practices at 11970 N Central Expy Ste 630, Dallas, TX 75243. The listed phone number is (469) 806-0777.

Q: What is Todd Spencer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: Is Todd Spencer enrolled in Medicare?

Yes. Todd 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.

Q: Which organizations bill Medicare for Todd Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Spencer reassigns Medicare benefits to 2 organizations: Cardiac Cath Lab Of Dallas, LP (Dallas, TX) and Todd A Spencer, MD, PA (Dallas, TX). 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 Todd Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Todd Spencer accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Todd 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.

Q: Is Todd Spencer affiliated with any hospitals?

According to CMS data, Todd Spencer is affiliated with Medical City Dallas Hospital.

Q: When was this NPI record last updated?

The NPPES record for Todd Spencer was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

55.49/100

CMS Quality Rating

11970 N CENTRAL EXPY STE 630, DALLAS, TX 75243(469) 806-0777(469) 694-8434 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Todd A Spencer M.d. NPPES

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

DR. TODD A SPENCER M.D. (NPI 1952343857) is an individual vascular surgery provider in Dallas, Texas, licensed in Texas (L3839) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1997).

NPPES Registry Identity

NPI1952343857

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. TODD A SPENCERCredential: M.D.

Location Address11970 N CENTRAL EXPY STE 630Dallas, TX 75243-3793

Mailing AddressPo Box 269092Oklahoma City, OK 73126-9092 · (469) 806-0777 · Fax (469) 694-8434

Phone(469) 806-0777

Fax(469) 694-8434

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1997

Enumeration DateJune 12, 2006

Last NPPES UpdateDecember 31, 2025

NPPES CertifiedDecember 31, 2025

✔ NPI 1952343857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in TX · L3839

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

11970 N CENTRAL EXPY STE 630, Dallas, TX 75243

Open in Google Maps ↗

Other Identifiers 2

Medicaid157541702TX

Other8CS027TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Todd A Spencer M.d. 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 ID6507825676

PECOS Enrollment IDI20041005000554

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

Medicare enrollment records show Todd Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiac Cath Lab Of Dallas, LP

Same address

Multi-Specialty

11970 N CENTRAL EXPY STE 610
Dallas, TX 75243

Reassigned Medicare billing, Texas enrollment
32 clinicians in this Medicare group

NPI 1790031037 (469) 232-9393

Todd A Spencer, MD, PA

Same address

Vascular Surgery

11970 N CENTRAL EXPY STE 630
Dallas, TX 75243

Reassigned Medicare billing, Texas enrollment

NPI 1093947434 (972) 566-7188

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

Areas of Expertise CMS Part B claims 19

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.

619 services308 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

225 services167 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

218 services46 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

201 services148 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

155 services145 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

147 services137 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

133 services120 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

107 services107 patients

Ultrasound of both sides of head and neck blood flow 93880

59 services58 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

51 services50 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

50 services36 patients

Ultrasound of leg arteries or artery grafts 93925

29 services29 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

28 services20 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.

25 services20 patients

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253

An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.

25 services14 patients

Ultrasound of one leg arteries or artery grafts 93926

16 services14 patients

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252

15 services12 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

14 services11 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

55.49/100

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

Individually scored

Quality

47.94

Promoting Interoperability

Improvement Activities

Cost

12.04

Reported Quality Measures

Advance Care Plan

72%716 patients3/55-star benchmark: 100%

Controlling High Blood Pressure

48%482 patients3/55-star benchmark: 91%

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

70%20 patients3/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

65%71 patients3/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%1,847 patients4/55-star benchmark: 100%

Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)

13%354 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%1,122 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%795 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 405 patients

Patients screened: 100% · 405 patients

42%52 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

45%1,137 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

65%878 patients2/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

20%330 patients1/55-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

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

TODD A SPENCER, MD, PA

Surgery (Vascular Surgery)

11970 N CENTRAL EXPY STE 630
DALLAS, TX 75243

Dallas County (972) 566-7188

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 Todd Spencer's NPI number?

The NPI number for Todd Spencer is 1952343857. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Todd Spencer located?

Todd Spencer practices at 11970 N Central Expy Ste 630, Dallas, TX 75243. The listed phone number is (469) 806-0777.

What is Todd Spencer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Todd Spencer enrolled in Medicare?

Yes. Todd 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.

Which organizations bill Medicare for Todd Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Spencer reassigns Medicare benefits to 2 organizations: Cardiac Cath Lab Of Dallas, LP (Dallas, TX) and Todd A Spencer, MD, PA (Dallas, TX). 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 Todd Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Spencer accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Todd 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 Todd Spencer affiliated with any hospitals?

According to CMS data, Todd Spencer is affiliated with Medical City Dallas Hospital.

When was this NPI record last updated?

The NPPES record for Todd Spencer was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.