Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194732800 Deactivated / Inactive NPI Female Practitioner

Dr. Donna Sunda Spencer , OD

Optometrist • Benton, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Donna Spencer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2006
NPI Deactivation Date September 04, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Donna Spencer, OD was a registered Optometrist practicing in Benton, IL. Throughout an active medical career spanning 19 years, Dr. Spencer provided care at the practice location at 711 N MAIN ST until profile deactivation on 2025-09-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, exam of visual field with extended testing, imaging of retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

711 N Main St

Benton, IL 628121017

Telephone 6184397256
Fax 6184397257
Associated Practice Facility / Clinic
🏢 David K. Spencer, O.d. Facility NPI 1316121015

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Benton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Benton, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
71 68 $73.00 $73.00
92083 Exam of visual field with extended testing
23 23 $83.00 $60.28
92134 Imaging of retina
21 21 $76.00 $39.44
92133 Imaging of optic nerve
17 17 $76.00 $33.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $107.00 $107.00

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1245688308

Doctor of Optometry

NPI 1750398467

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 711 N MAIN ST, BENTON, IL 628121017 (Tel: 6184397256)

📍
Updated Business Mailing Address July 08, 2007

Registered at 711 N MAIN ST, BENTON, IL 628121017 (Tel: 6184397256)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DONNA SPENCER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Donna Spencer. Be the first to share your experience!

Sign in to leave a review for Dr. Donna Spencer

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194732800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Deactivation Date: September 04, 2025

Mailing Address

711 N Main St

Benton, IL 628121017

Phone: 6184397256

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.