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Deactivated NPI 1568675213 Deactivated / Inactive NPI Male Practitioner

Spencer C Hibbert , PA

Physician Assistant • Ogden, UT

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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, Spencer Hibbert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2007
NPI Deactivation Date November 08, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Spencer Hibbert, PA was a registered Physician Assistant practicing in Ogden, UT. Throughout an active medical career spanning 11 years, Spencer Hibbert provided care at the practice location at 6028 S RIDGELINE DR STE 201 until profile deactivation on 2018-11-08.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of external hemorrhoids by rubber banding. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6028 S Ridgeline Dr Ste 201

Ogden, UT 844056908

Telephone 8014755400
Fax 8014758614
Associated Practice Facility / Clinic
🏢 Tanner Memorial Clinic Facility NPI 1609406511

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ogden, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
112 Specialists

Practicing in Ogden, UT (1904 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.1% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
377 290 $165.00 $87.49
99213 Established patient office or other outpatient visit, typically 15 minutes
249 216 $125.00 $59.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
83 83 $275.00 $136.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $200.00 $89.51

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 3588601206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Brian Pugh , DO

Internal Medicine - Gastroenterology

NPI 1023005808

Doctor of Osteopathic Medicine (D.O.)

Nathan Mcbride , PA-C

Physician Assistant

NPI 1114915741

Physician Assistant (Certified)

Dr. Matthew Redd , DO

Internal Medicine

NPI 1154642791

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Poole , MD

Internal Medicine - Gastroenterology

NPI 1649266776

Doctor of Medicine (M.D.)

Dr. John Lowe , MD

Internal Medicine - Gastroenterology

NPI 1851387195

Doctor of Medicine (M.D.)

Dr. Dennis Sobotka , MD

Internal Medicine - Gastroenterology

NPI 1932196714

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated November 08, 2018

Record deactivated on November 08, 2018

NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 11, 2010

Registered at 6028 S RIDGELINE DR STE 201, OGDEN, UT 844056908 (Tel: 8014755400)

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Updated Business Mailing Address November 11, 2010

Registered at 6028 S RIDGELINE DR STE 201, OGDEN, UT 844056908 (Tel: 8014755400)

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Provider Name / Credentials Updated November 11, 2010

Recorded as SPENCER HIBBERT, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Physician Assistant (License #3588601206 in UT)

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Initial NPI Registration & Enumeration May 08, 2007

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: 1568675213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: November 11, 2010
Deactivation Date: November 08, 2018

Mailing Address

6028 S Ridgeline Dr Ste 201

Ogden, UT 844056908

Phone: 8014755400

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.