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SPENCER BERTOCH M.D.
NPI 1972952695
Dermatology in Salt Lake City, UT

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
94.81/100
CMS Quality Rating
30 N 1900 E # 4A330, SALT LAKE CITY, UT 84132(801) 581-6465 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2021, Jun 14, 2020, Apr 17, 2020 (3 updates tracked since 2020).

About Spencer Bertoch M.d. NPPES

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

SPENCER BERTOCH M.D. (NPI 1972952695) is an individual dermatology provider in Salt Lake City, Utah, licensed in Utah (11620001-1205) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1972952695
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSPENCER BERTOCHCredential: M.D.
Location Address30 N 1900 E # 4A330Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E # 4a330Salt Lake City, UT 84132-0002
Phone(801) 581-6465
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1972952695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 11620001-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
30 N 1900 E # 4A330, Salt Lake City, UT 84132
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Secondary Practice Location 1

Location 11111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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

Spencer Bertoch 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 ID3173876703
PECOS Enrollment IDI20200629001330
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

2

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

U-U Pediatric Dermatology
0.3 mi
Pediatric Dermatology
100 N MEDICAL DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 39 clinicians in this Medicare group
NPI 1235339193 (801) 587-6340
Dermatology Division University Of Utah Medical Center
0.3 mi
Dermatology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 79 clinicians in this Medicare group
NPI 1922096114 (801) 587-6340

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 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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
624 services133 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.
288 services207 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
253 services175 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
138 services115 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.
63 services44 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.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

94.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. ELISE SYLVIE BURGER MD, PHD
Dermatology
30 N 1900 E # 4A330
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6465

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 Bertoch's NPI number?

The NPI number for Spencer Bertoch is 1972952695. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Spencer Bertoch located?

Spencer Bertoch practices at 30 N 1900 E # 4a330, Salt Lake City, UT 84132. The listed phone number is (801) 581-6465.

What is Spencer Bertoch's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Spencer Bertoch enrolled in Medicare?

Yes. Spencer Bertoch 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 Spencer Bertoch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Bertoch reassigns Medicare benefits to 2 organizations: U-U Pediatric Dermatology (Salt Lake City, UT) and Dermatology Division University Of Utah Medical Center (Salt Lake City, UT). 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 Spencer Bertoch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Bertoch accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Spencer Bertoch 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 Spencer Bertoch affiliated with any hospitals?

According to CMS data, Spencer Bertoch is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Spencer Bertoch was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.