Active NPI 1528056223 Individual Practitioner Male Practitioner

Dr. Steven Walter Spence , MD

Internal Medicine • Marianna, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Spence, MD is a certified Internal Medicine practicing in Marianna, FL. With approximately 28 years of clinical experience since graduating from University Of Florida College Of Medicine in 1998, Dr. Spence delivers high-quality medical care to the local community at 4318 5TH AVE.

Dr. Spence is affiliated with Er Physician Group At Jackson Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4318 5th Ave

Marianna, FL 324462182

Telephone 8505265300

Fax 8504825021

Associated Practice Facility / Clinic

🏢 Internal Medicine Associates Facility NPI 1205873841

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marianna, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +2.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Marianna, FL (10650 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spence (28 Years) 28 Yrs

Marianna Specialty Average (25.3 Years) 25.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	302	109	$147.00	$75.17
99239 Hospital discharge day management, more than 30 minutes	177	158	$218.00	$109.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	167	156	$414.00	$167.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	66	$212.00	$112.73
99291 Critical care, first 30-74 minutes	66	24	$559.00	$201.76
94726 Determination of lung volumes using plethysmography	61	60	$104.00	$11.38
94729 Test to examine how well the lungs exchange gases	61	60	$107.00	$8.49
94060 Test to measure expiratory airflow and volume changes before and after medication administration	59	58	$120.00	$9.76
99497 Advance care planning, first 30 minutes	35	30	$172.00	$73.25
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	21	21	$45.00	$20.05
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	21	21	$77.00	$13.32
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	15	14	$54.00	$16.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$107.00	$51.37
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$444.00	$203.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	379	152	$147.00	$79.34
99239 Hospital discharge day management, more than 30 minutes	184	149	$218.00	$114.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	175	151	$414.00	$173.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	47	$212.00	$119.34
94729 Test to examine how well the lungs exchange gases	80	78	$107.00	$8.79
94726 Determination of lung volumes using plethysmography	80	78	$104.00	$11.78
94060 Test to measure expiratory airflow and volume changes before and after medication administration	73	72	$120.00	$10.12
99291 Critical care, first 30-74 minutes	48	23	$559.00	$216.05
99497 Advance care planning, first 30 minutes	44	33	$172.00	$75.33
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	17	17	$77.00	$13.77
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	17	17	$45.00	$20.72
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	17	17	$54.00	$18.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$79.00	$50.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	385	155	$147.00	$71.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	143	$414.00	$198.66
99239 Hospital discharge day management, more than 30 minutes	153	126	$218.00	$104.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	109	52	$212.00	$102.58
94729 Test to examine how well the lungs exchange gases	64	64	$107.00	$8.97
94726 Determination of lung volumes using plethysmography	64	64	$104.00	$12.04
94060 Test to measure expiratory airflow and volume changes before and after medication administration	62	62	$120.00	$10.33
99291 Critical care, first 30-74 minutes	56	20	$559.00	$223.01
99217 Hospital observation care on day of discharge	44	43	$147.00	$71.29
99220 Hospital observation care, typically 70 minutes	34	33	$379.00	$179.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	31	$107.00	$52.42
99225 Subsequent observation care, typically 25 minutes per day	24	22	$148.00	$70.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	17	$82.00	$40.35
99497 Advance care planning, first 30 minutes	21	19	$172.00	$77.87
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	20	20	$45.00	$21.69
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	20	20	$77.00	$14.39
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	14	12	$54.00	$18.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	477	187	$147.00	$72.41
99239 Hospital discharge day management, more than 30 minutes	191	169	$218.00	$106.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	144	$414.00	$201.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	144	67	$212.00	$104.17
99291 Critical care, first 30-74 minutes	72	31	$559.00	$225.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	49	27	$82.00	$40.81
99217 Hospital observation care on day of discharge	38	38	$147.00	$72.44
94060 Test to measure expiratory airflow and volume changes before and after medication administration	35	35	$120.00	$10.52
94726 Determination of lung volumes using plethysmography	33	33	$104.00	$12.25
94729 Test to examine how well the lungs exchange gases	32	32	$107.00	$9.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	28	$107.00	$52.68
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	25	25	$77.00	$14.19
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	25	25	$45.00	$21.37
99220 Hospital observation care, typically 70 minutes	24	24	$379.00	$183.49
99497 Advance care planning, first 30 minutes	18	16	$172.00	$79.02
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	17	16	$54.00	$18.78
99225 Subsequent observation care, typically 25 minutes per day	16	13	$148.00	$72.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	566	231	$147.00	$73.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	215	103	$212.00	$102.18
99239 Hospital discharge day management, more than 30 minutes	182	167	$218.00	$108.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	182	168	$414.00	$206.72
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	71	37	$82.00	$40.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	62	57	$107.00	$53.56
99497 Advance care planning, first 30 minutes	62	44	$172.00	$81.33
99291 Critical care, first 30-74 minutes	46	27	$559.00	$231.76
99217 Hospital observation care on day of discharge	29	29	$147.00	$74.40
99220 Hospital observation care, typically 70 minutes	25	25	$379.00	$190.38
99225 Subsequent observation care, typically 25 minutes per day	18	12	$148.00	$74.52
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	16	16	$45.00	$21.60
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	16	16	$77.00	$14.36
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	14	13	$54.00	$27.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	575	228	$147.00	$73.55
99239 Hospital discharge day management, more than 30 minutes	203	184	$218.00	$107.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	193	94	$212.25	$105.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	179	164	$414.00	$204.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	86	74	$107.00	$52.90
94060 Test to measure expiratory airflow and volume changes before and after medication administration	66	64	$120.00	$13.04
94729 Test to examine how well the lungs exchange gases	64	62	$107.00	$9.20
94726 Determination of lung volumes using plethysmography	61	60	$104.00	$12.49
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	60	32	$82.00	$40.68
99217 Hospital observation care on day of discharge	39	38	$147.00	$73.56
99220 Hospital observation care, typically 70 minutes	35	35	$379.00	$187.67
99291 Critical care, first 30-74 minutes	34	29	$559.00	$226.95
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	29	29	$45.00	$21.38
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	29	29	$77.00	$14.20
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	25	21	$54.00	$24.94
99497 Advance care planning, first 30 minutes	17	16	$172.00	$79.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$79.00	$39.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	619	240	$147.00	$73.27
99239 Hospital discharge day management, more than 30 minutes	207	168	$218.00	$107.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	190	161	$414.00	$204.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	182	80	$212.00	$104.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	81	66	$107.00	$53.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	57	57	$120.00	$13.01
94729 Test to examine how well the lungs exchange gases	53	53	$107.00	$9.24
94726 Determination of lung volumes using plethysmography	52	52	$104.00	$12.39
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	25	$82.00	$40.99
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	28	27	$45.00	$22.30
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	28	27	$77.00	$14.82
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	26	26	$54.00	$26.80
99220 Hospital observation care, typically 70 minutes	24	24	$379.00	$187.46
99497 Advance care planning, first 30 minutes	23	18	$172.00	$79.53
99291 Critical care, first 30-74 minutes	21	17	$559.00	$225.57
99217 Hospital observation care on day of discharge	19	19	$147.00	$73.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	586	237	$147.55	$70.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	187	165	$414.00	$199.28
99239 Hospital discharge day management, more than 30 minutes	185	147	$218.00	$104.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	122	71	$213.66	$100.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	46	$107.00	$52.18
94060 Test to measure expiratory airflow and volume changes before and after medication administration	48	48	$120.00	$12.64
94726 Determination of lung volumes using plethysmography	47	47	$104.00	$12.16
94729 Test to examine how well the lungs exchange gases	46	46	$107.00	$8.90
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	32	32	$77.00	$14.18
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$45.00	$21.35
99220 Hospital observation care, typically 70 minutes	25	23	$379.00	$171.24
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	25	23	$54.00	$26.31
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	17	$82.00	$40.00
99217 Hospital observation care on day of discharge	24	22	$147.00	$66.97
99291 Critical care, first 30-74 minutes	19	11	$559.00	$222.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$414.00	$135.34

Medical Specialties & State Licenses

CMS Verified: 2020-01-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL FLME0079376

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

261373500 (FL)

Commercial Insurance / Payer ID Fl State License Number

FLME0079376 (FL)

Commercial Insurance / Payer ID Railroad Medicare

110227528 (FL)

Commercial Insurance / Payer ID Bcbs Provider Number

58845 (FL)

Hospital & Practice Group Affiliations

Er Physician Group At Jackson Hospital

4250 Hospital Dr, Marianna, FL 324461917

Phone: 8505262200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Julie Smith , ARNP-C, DNP

Nurse Practitioner - Family

NPI 1053462085

ARNPC, Doctor of Nursing Practice

Dr. Richard Christopher , MD

Internal Medicine

NPI 1093703704

Doctor of Medicine (M.D.)

Melanie Alexander , ARNP

Nurse Practitioner - Family

NPI 1679608269

Advanced Registered Nurse Practitioner

Anna Brunner , MSN, ARNP-C

Nurse Practitioner - Family

NPI 1699916098

Master of Science in Nursing, ARNPC

Wayde Retherford

Internal Medicine

NPI 1861952624

Megan Tyler , ARNP

Nurse Practitioner - Family

NPI 1932675501

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address January 06, 2020

Registered at 4250 HOSPITAL DR, MARIANNA, FL 324461917 (Tel: 8505265300)

👤

Provider Name / Credentials Updated January 06, 2020

Recorded as STEVEN SPENCE, MD

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4318 5TH AVE, MARIANNA, FL 324462182 (Tel: 8505265300)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 668, MARIANNA, FL 324470668 (Tel: 8505265300)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STEVEN SPENCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #FLME0079376 in FL)

🟢

Initial NPI Registration & Enumeration October 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528056223

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 07, 2005

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4250 Hospital Dr

Marianna, FL 324461917

Phone: 8505265300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.