What is Edwin Spencer's specialty?

Edwin Spencer (NPI 1578530275) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Knoxville, TN.

Where does Edwin Spencer practice?

Edwin Spencer practices in Knoxville, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1578530275.

How much does Medicare pay Edwin Spencer?

Edwin Spencer (NPI 1578530275) received approximately $179K in total Medicare Part B payments, serving 367 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1578530275

Edwin SpencerM.D.

PRACTICEORTHOTENNESSEE, PCSee all providers at this practice →

Orthopedic SurgeryKnoxville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

837

Unique beneficiaries

—

Total services

971

Distinct HCPCS

Medicare payment

$165K

Peer benchmark

Total Medicare services vs. 503 Orthopedic Surgery providers in TN — below median (cohort median 2,357).

PRESCRIBING · PART D · 2024

Total Rx claims

594

Beneficiaries

—

Total drug cost

$6K

Distinct drugs

Brand share

23.2%

Top prescribed drugs

Diclofenac Sodium201 claims

Ondansetron97 claims

Cephalexin79 claims

Amoxicillin51 claims

Celecoxib42 claims

QUALITY · MIPS · 2024

Final MIPS score

85.9

Quality

82.0

Cost

70.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.46%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$268K

Payment records

By payment type

Royalty or License$245K

Consulting Fee$17K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$4K

Travel and Lodging$2K

Food and Beverage$775

Top paying entities

Royalty or License$245K

Consulting Fee$17K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$4K

Travel and Lodging$2K

Food and Beverage$775

REFERRAL NETWORK

Where Edwin Spencer'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). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
METRO KNOXVILLE HMA LLC	143	563
Jeffrey Jarnagin Physician Assistant · Knoxville, TN	121	445
Benjamin Egner Diagnostic Radiology · Knoxville, TN	31	74
PARKWEST MEDICAL CENTER	22	48
Daniel Baker Diagnostic Radiology · Knoxville, TN	18	52
Rural/Metro Of Tennessee, L.P. Ambulance Service Provider · Knoxville, TN	14	48
James Schauberger Diagnostic Radiology · Knoxville, TN	14	29
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	11	38

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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