What is Thomas Spence's specialty?

Thomas Spence (NPI 1447221379) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Saint Louis, MO.

Where does Thomas Spence practice?

Thomas Spence practices in Saint Louis, MO, based on the location reported in the CMS Medicare provider datasets for NPI 1447221379.

How much does Medicare pay Thomas Spence?

Thomas Spence (NPI 1447221379) received approximately $57K in total Medicare Part B payments, serving 392 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1447221379

Thomas SpenceMD

Pulmonary DiseaseSaint Louis, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

813

Unique beneficiaries

—

Total services

982

Distinct HCPCS

Medicare payment

$57K

Peer benchmark

Total Medicare services vs. 230 Pulmonary Disease providers in MO — above median (cohort median 922).

PRESCRIBING · PART D · 2024

Total Rx claims

2,739

Beneficiaries

—

Total drug cost

$1.1M

Distinct drugs

Brand share

66.0%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter638 claims

Albuterol Sulfate412 claims

Montelukast Sodium373 claims

Umeclidinium Brm/Vilanterol Tr142 claims

Fluticasone/Vilanterol142 claims

QUALITY · MIPS · 2024

Final MIPS score

79.2

Quality

72.1

Cost

74.1

Improvement activities

20.0

Promoting interop.

100.0

Payment adjustment

0.18%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$3K

Payment records

129

By payment type

Food and Beverage$3K

Consulting Fee$18

Top paying entities

Food and Beverage$3K

Consulting Fee$18

REFERRAL NETWORK

Where Thomas Spence's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 75 inbound referrers · 143 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MISSOURI BAPTIST MEDICAL CENTER	430	1,424
NPI 1407879562	165	448
Jamie Colonnello Diagnostic Radiology · Fort Collins, CO	139	346
WASHINGTON COUNTY MEMORIAL HOSPITAL	129	495
Christopher Thornton Diagnostic Radiology · Saint Louis, MO	107	266
NIEMEYER, JOHN	101	232
WASHINGTON COUNTY MEMORIAL HOSPITAL	92	262
MOSHER, AMY	79	190
HAMILL, GEOFFREY	66	119
Ricardo Rao Vascular Surgery · Saint Louis, MO	46	89
BJC HOME CARE SERVICES	39	63
Nitin Anand Critical Care (Intensivists) · Saint Louis, MO	38	100

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MISSOURI BAPTIST MEDICAL CENTER	375	1,478
Douglas Curry Diagnostic Radiology · Saint Louis, MO	149	373
NPI 1407879562	131	340
ENGELS, JOHN	120	282
Jamie Colonnello Diagnostic Radiology · Fort Collins, CO	113	254
Floyd Scales Interventional Radiology · Saint Louis, MO	108	278
SOLOMON, STEVEN	104	262
Christopher Thornton Diagnostic Radiology · Saint Louis, MO	95	224
NIEMEYER, JOHN	89	191
Linda Proctor Diagnostic Radiology · Saint Louis, MO	87	167
WASHINGTON COUNTY MEMORIAL HOSPITAL	85	265
Anthony Shen Internal Medicine · Saint Louis, MO	77	205

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events