Active NPI 1295240695 Individual Practitioner Female Practitioner

Misty Spencer

Nurse Practitioner • Everett, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Misty Spencer is a certified Nurse Practitioner practicing in Everett, PA. With approximately 9 years of clinical experience since completing medical education in 2017, Misty Spencer delivers high-quality medical care to the local community at 10455 LINCOLN HWY.

Misty Spencer is affiliated with Upmc Western Maryland Health Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10455 Lincoln Hwy
Entrance #12

Everett, PA 155377046

Telephone 8146233570

Associated Practice Facility / Clinic

🏢 Sydian Anesthesia, Pc Facility NPI 1770576027

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Everett, PA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +2.0 yrs vs City Avg

City Avg: 7.0 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Everett, PA (3955 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spencer (9 Years) 9 Yrs

Everett Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	288	278	$1648.06	$151.55
99284 Emergency department visit with moderate level of medical decision making	214	208	$1118.21	$105.10
99291 Critical care, first 30-74 minutes	164	157	$2128.64	$183.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	162	157	$80.83	$7.07
99283 Emergency department visit with low level of medical decision making	43	43	$589.41	$61.87
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$136.00	$79.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	300	284	$1602.30	$149.94
99284 Emergency department visit with moderate level of medical decision making	245	229	$1085.64	$104.41
99291 Critical care, first 30-74 minutes	161	158	$2066.64	$182.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	142	139	$78.48	$6.88
99213 Established patient office or other outpatient visit, typically 15 minutes	49	46	$137.22	$78.52
99283 Emergency department visit with low level of medical decision making	38	33	$572.24	$62.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	331	315	$1600.89	$154.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	276	256	$78.41	$7.21
99291 Critical care, first 30-74 minutes	177	170	$2065.96	$189.68
99284 Emergency department visit with moderate level of medical decision making	165	159	$1084.68	$106.91
99283 Emergency department visit with low level of medical decision making	78	76	$572.03	$63.50
99292 Critical care, each additional 30 minutes	40	37	$1035.07	$95.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	400	384	$1555.63	$158.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	345	323	$76.19	$7.31
99284 Emergency department visit with moderate level of medical decision making	180	173	$1054.02	$105.88
99291 Critical care, first 30-74 minutes	119	116	$2006.44	$190.83
99283 Emergency department visit with low level of medical decision making	64	61	$555.58	$62.52
99292 Critical care, each additional 30 minutes	14	14	$1006.39	$97.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	160	160	$25.11	$20.51
99213 Established patient office or other outpatient visit, typically 15 minutes	139	133	$113.00	$65.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	102	$166.00	$95.38
99285 Emergency department visit for life threatening or functioning severity	86	86	$1496.07	$153.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	53	53	$73.97	$7.51
99284 Emergency department visit with moderate level of medical decision making	45	44	$932.06	$105.19
81002 Urinalysis, manual test	30	29	$6.00	$3.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	22	$40.00	$12.58
G0008 Administration of influenza virus vaccine	16	16	$40.00	$17.37
90682 Influenza vaccine, quadrivalent derived from recombinant dna	16	16	$92.00	$60.98
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$25.00	$16.53
99283 Emergency department visit with low level of medical decision making	14	14	$539.40	$57.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$300.63	$169.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$252.00	$114.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$252.00	$114.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$304.00	$170.05

Medical Specialties & State Licenses

CMS Verified: 2025-02-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MD R241759

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Upmc Western Maryland Health Services Llc

1050 W Industrial Blvd, Cumberland, MD 215024331

Phone: 2409649300

Practice Associates & Co-Workers

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

36 Associated Practitioners

Dr. George Fleming , MD

Emergency Medicine

NPI 1093878530

Doctor of Medicine (M.D.)

Mark Oherrick

Nurse Practitioner - Acute Care

NPI 1093969172

Katelyn Black

Physician Assistant

NPI 1104298306

Dr. Nicholas Canuso , MD

Anesthesiology

NPI 1134112477

Doctor of Medicine (M.D.)

Julianna Wert

Speech-Language Pathologist

NPI 1164794186

Ashley Ritchey

Occupational Therapy Assistant

NPI 1174897045

Career & Practice History Timeline

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

10 Historical Events

👤

Provider Name / Credentials Updated February 14, 2025

Recorded as MISTY SPENCER

📍

Updated Practice Location May 21, 2021

Registered at 10455 LINCOLN HWY, ENTRANCE #12, EVERETT, PA 155377046 (Tel: 8146233570)

📍

Updated Business Mailing Address May 21, 2021

Registered at 2369 SCHELLSBURG RD, ENTRANCE #12, QUEEN, PA 166708935

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2020

Nurse Practitioner (License #R241759 in MD)

✅

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2017

Registered at 10455 LINCOLN HWY, EVERETT, PA 155377046 (Tel: 8146233570)

📍

Updated Business Mailing Address December 06, 2017

Registered at 2369 SCHELLSBURG RD, QUEEN, PA 166708935

👤

Provider Name / Credentials Updated December 06, 2017

Recorded as MISTY LINGENFELTER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Nurse Practitioner (License #SP018173 in PA)

🟢

Initial NPI Registration & Enumeration December 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295240695

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 06, 2017

Last Update: February 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2369 Schellsburg Rd, Entrance #12

Queen, PA 166708935

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.