Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Spencer Laine Fodczuk, MPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1831253145

Mr. Spencer Laine Fodczuk, MPAS, PA-C is a Physician Assistant in Puyallup, Washington. Graduated from University of Nebraska College of Medicine in 2004, 22 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Trained at
University of Nebraska College of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3908 10th St SE
Puyallup, WA 98374-2188 Not confirmed with CMS for 10 years — call before visiting
Phone: (253) 848-5951
Fax: (253) 845-7073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60344476 (WA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1831253145
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2006
Last updated in NPPESJanuary 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients371
Services billed 725 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Tacoma General Allenmore Hospital Hospital · Tacoma, WA

Colleagues at Multicare Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2302 clinicians in the practice; 12 are shown here.

Other providers in Puyallup