1. Home
  2. Directory
  3. Minnesota
  4. West St Paul
  5. Optometrist
  6. NPI Profile

JOHN C SPENCER OD
NPI 1992768725
Optometrist in West St Paul, MN

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
150 EMERSON AVE E, WEST ST PAUL, MN 55118(651) 241-1800 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John C Spencer Od NPPES

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

JOHN C SPENCER OD (NPI 1992768725) is an individual optometrist in West St Paul, Minnesota, licensed in Minnesota (2274) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1989).

NPPES Registry Identity

NPI1992768725
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN C SPENCERCredential: OD
Location Address150 EMERSON AVE EWest St Paul, MN 55118-2535
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(651) 241-1800
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1989
Enumeration DateApril 11, 2006
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1992768725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2274
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
150 EMERSON AVE E, West St Paul, MN 55118
Open in Google Maps ↗

Other Identifiers 1

Medicaid249823500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

John C Spencer Od 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 ID3577756451
PECOS Enrollment IDI20101023000234
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
191 services191 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
102 services101 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
49 services46 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.
39 services32 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
38 services37 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.
36 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

LAURA HURLEY
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
DR. SIMON NICHOLAS FENTON MD
Family Medicine
150 EMERSON AVE E
SAINT PAUL, MN 55118
Dakota County (651) 241-1800
ALLINA HEALTH SYSTEM
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
CAROLYN J BOROW MD
Family Medicine
150 EMERSON AVE E
SAINT PAUL, MN 55118
Dakota County (651) 552-3800
DR. MELISSA BAUGHMAN DO
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800
MARY THERESA MCGUIRE CLARK CNP
Nurse Practitioner (Family)
150 EMERSON AVE E
WEST SAINT PAUL, MN 55118
Dakota County (651) 241-1800
DR. BRIAN DAVID KANTER M.D.
Military Health Care Provider
150 EMERSON AVE E, ALLINA WEST ST. PAUL
WEST ST PAUL, MN 55118
Dakota County (612) 467-1100
EMMA S OSTBY MD
Family Medicine
150 EMERSON AVE E
WEST ST PAUL, MN 55118
Dakota County (651) 241-1800

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 John Spencer's NPI number?

The NPI number for John Spencer is 1992768725. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is John Spencer located?

John Spencer practices at 150 Emerson Ave E, West St Paul, MN 55118. The listed phone number is (651) 241-1800.

What is John Spencer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Spencer enrolled in Medicare?

Yes. John 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 John Spencer accept?

Health plans from HealthPartners and Medica list John 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 John Spencer was last updated on November 9, 2020. 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.