Avera Medical Group Spencer


Avera Medical Group Spencer, a department of Spencer Hospital, has provided healthcare for individuals and families in northwest Iowa for decades. Highly trained physicians and professionals are here to serve you and your family with excellence, compassion and state-of-the-art care.

Our Services

As family physicians, our providers are certified as specialists by the American Academy of Family Physicians. Nurse practitioners and physician assistants also provide primary care services for patients. Primary care covers a wide array of healthcare services from prenatal to end-of-life care and all stages of life and health between.

Avera Medical Group Spencer offers diagnostic X-ray, general radiography and clinical laboratory services to process virtually all tests performed during the examination and treatment of patients.

Avera Medical Group Spencer also offers Behavioral Health Outpatient Services for their patients.

Our Physicians & Providers

Our physicians and providers have vast experience providing family care to patients throughout all stages of life. 


Dr. Bill Bensen
Dr. Yelena Coffield
Dr. Bruce Feldmann
Dr. John Hilsabeck
Dr. Amber Holmes
Dr. Amy Jochims
Dr. David Keith
Dr. Nathaniel Meyer
Dr. David Robison
Dr. Sherry Tighe
Dr. Brian Wilson
Dr. Travis Witt
Dr. Amanda Young

Doctors Who Deliver

Your family practice physician can be your health guide from preparing for a pregnancy, through prenatal care, delivery, post-partum care and then provide care for you and pediatric healthcare for your child. Physician partners at Avera Medical Group Spencer who practice obstetrics include:

  • Dr. Bill Bensen
  • Dr. Yelena Coffield
  • Dr. Amy Jochims
  • Dr. David Keith
  • Dr. Nathaniel Meyer
  • Dr. Travis Witt
  • Dr. Amanda Young

Advanced Gynecology & Surgery

Dr. Wilson accepts referrals for patients who need a gynecological consultation or surgery. He is also available for referrals for patients with infertility issues and for consultation with area family practice physicians who are providing care for high-risk obstetrical patients.

To schedule appointments with Dr. Wilson, patients may work with their primary care physician or call the Advanced Gynecology & Surgery office directly at (712) 264-3510.

Workplace Health

HEALTHworks is a full-service clinic specializing in work-related injuries and occupational medicine. Our team wants to keep you healthy and on the job. We offer:

  • Coordinated after-hours care through the emergency room at Spencer Hospital
  • Coordinated care and ongoing communication on employee progress
  • Physical examinations – basic to complex
  • DOT physicals
  • Return-to-work physicals
  • Drug and alcohol testing
  • Audiometric, vision and pulmonary function testing
  • Independent Medical Exams

To schedule a HEALTHworks appointment call (712) 264-3530.

Billing & Insurance

Fees are based on the nature and extent of the services rendered. Payment is expected at the time of services unless other arrangements are made. All co-payments are due and payable at the time of service. If you receive care for a work-related injury, please notify the receptionist when you arrive for your appointment.

It is the patient's responsibility to provide our business office with accurate insurance policy information. Avera Medical Group Spencer will submit claims to your insurance company. Payment plans are available for those without insurance. All providers at Avera Medical Group Spencer are participating with Medicare.

You can pay your Avera Medical Group Spencer bill online using our website's Pay My Bill option. Call the Avera Medical Group Spencer business office at (712) 264-3520 with any questions.

Provider-Based Billing

What is a provider-based clinic?

“Provider-Based” refers to services provided in an outpatient clinic that is considered a department of a hospital, as services are clinically integrated into a hospital. The clinical integration provides opportunities for enhanced coordination of patient care.

What is provider-based billing?

“Provider-Based” status is a Medicare status for hospitals and clinics that meet specific Medicare regulations and requires that Medicare, and other qualifying insurance types, be billed in two parts – one bill for the physician’s service, and another bill for the hospital/facility resources and services. This means that you may receive a bill from the clinic and a separate bill from the hospital.

Your bill depends on your specific insurance coverage. Some patients may have to pay a higher cost because of the required separate billing for physician services and for facility and resources. The increase in cost is a result of the health plan’s coinsurance and deductible. Depending on the services being provided, patients may incur additional out-of-pocket costs, especially when a deductible has not been met.  However, patients with supplement insurance coverage may not incur any additional costs.

Will my appointment be different?

Your clinical care will not change. You will continue to see your regular doctor and health care team, and continue to receive excellent-quality care. Scheduling appointments and tests will be handled as they have been in the past. At every visit, Medicare patients will be asked to complete a “Medicare Secondary Payer” questionnaire containing 10 to 15 questions. While this may seem repetitive, it helps your healthcare team make sure your care is being billed in accordance with federal regulations.

Are all patients being billed this way?

No. The requirement for breaking out charges for each office visit was set by the Centers of Medicare and Medicaid. Thus, patients with Medicare, Medicare Advantage and Tricare insurance are billed using provider-based billing. At this time, commercial insurance companies do not require this breakout.  

Which local clinics are considered provider-based clinics?

Currently, both Avera Medical Group Spencer and Northwest Iowa Bone, Joint & Sports Surgeons are provider-based clinics, as departments of Spencer Hospital. For more information on your provider-based bill, please contact Spencer Hospital’s Patient Accounts department at (712) 264-6124.

Meet Our Provider