Spencer Laine Fodczuk, MPAS, PA-C
NPI 1831253145ActiveIndividual· Physician Assistant· Puyallup, WA
Physician Assistant (MPAS, PA-C) in Puyallup, Washington, trained at University of Nebraska College of Medicine (class of 2004). In 2024 Medicare paid $31,647 for 371 patients, and Part D covered 926 of their prescriptions, 88% of them generic.
Overview
| NPI | 1831253145 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Jan 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60344476 | WA |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 371 |
|---|---|
| Services billed | 725 across 43 procedure codes |
| Paid by Medicare | $31,647 |
Part D prescriptions in 2024
| Prescriptions (claims) | 926 · 1,199 30-day fills |
|---|---|
| Patients | 518 |
| Total drug cost | $24,775 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Physician Assistant |
Medical groups
- Multicare Health SystemTacoma, WA · 2,325 clinicians
- Mb2k LLCKent, WA · 4 clinicians
Hospital affiliation
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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