Active NPI 1174539191 Individual Practitioner Male Practitioner

Dr. Robert Andrew Spence , MD

Emergency Medicine • Palmer, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Spence, MD is a certified Emergency Medicine practicing in Palmer, MA. With approximately 30 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1996, Dr. Spence delivers high-quality medical care to the local community at 40 WRIGHT STREET.

Dr. Spence is affiliated with Baystate Medical Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

40 Wright Street
Wing Emergency Services

Palmer, MA 010691138

Telephone 4132845308

Fax 4132845413

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care Facility NPI 1477535813

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Palmer, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.9 yrs vs City Avg

City Avg: 20.1 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

18 Specialists

Practicing in Palmer, MA (1875 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spence (30 Years) 30 Yrs

Palmer Specialty Average (20.1 Years) 20.1 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
99285 Emergency department visit for life threatening or functioning severity	305	288	$560.80	$170.84
99284 Emergency department visit with moderate level of medical decision making	289	276	$437.75	$118.03
99283 Emergency department visit with low level of medical decision making	92	86	$275.57	$69.44
99291 Critical care, first 30-74 minutes	79	76	$902.38	$208.61
76775 Limited ultrasound scan behind abdominal cavity	11	11	$176.55	$27.01
93308 Ultrasound of heart, follow-up	11	11	$208.45	$24.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	309	296	$485.66	$121.03
99285 Emergency department visit for life threatening or functioning severity	285	275	$604.78	$175.81
99283 Emergency department visit with low level of medical decision making	76	75	$302.76	$71.87
99291 Critical care, first 30-74 minutes	70	66	$1088.00	$214.00
76775 Limited ultrasound scan behind abdominal cavity	12	12	$202.50	$27.94
93308 Ultrasound of heart, follow-up	12	12	$286.50	$24.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	363	347	$584.41	$179.93
99284 Emergency department visit with moderate level of medical decision making	176	169	$468.64	$124.00
99283 Emergency department visit with low level of medical decision making	96	93	$292.29	$73.51
99291 Critical care, first 30-74 minutes	47	45	$1054.19	$221.57
76775 Limited ultrasound scan behind abdominal cavity	15	14	$196.33	$28.58
99282 Emergency department visit with straightforward medical decision making	15	15	$175.20	$43.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	210	204	$568.75	$183.60
99284 Emergency department visit with moderate level of medical decision making	107	106	$456.76	$126.02
99283 Emergency department visit with low level of medical decision making	59	57	$284.58	$74.20
99291 Critical care, first 30-74 minutes	32	32	$1027.19	$225.72
76937 Ultrasonic guidance for blood vessel access	15	13	$190.40	$14.29
99282 Emergency department visit with straightforward medical decision making	13	13	$170.54	$44.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	135	134	$549.53	$180.38
99284 Emergency department visit with moderate level of medical decision making	91	88	$439.92	$124.20
99283 Emergency department visit with low level of medical decision making	33	30	$273.27	$67.77
99291 Critical care, first 30-74 minutes	19	19	$986.37	$231.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	159	150	$527.35	$178.67
99284 Emergency department visit with moderate level of medical decision making	142	141	$422.28	$121.18
99283 Emergency department visit with low level of medical decision making	54	54	$265.44	$64.04
99291 Critical care, first 30-74 minutes	17	16	$950.88	$230.04
99282 Emergency department visit with straightforward medical decision making	11	11	$157.64	$42.97
76604 Ultrasound scan of chest	11	11	$175.45	$28.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	154	152	$417.60	$118.10
99285 Emergency department visit for life threatening or functioning severity	145	139	$521.95	$174.92
99283 Emergency department visit with low level of medical decision making	45	45	$260.97	$62.75
99282 Emergency department visit with straightforward medical decision making	19	18	$156.65	$41.93
99291 Critical care, first 30-74 minutes	12	12	$941.18	$225.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	321	274	$32.00	$8.68
99284 Emergency department visit with moderate level of medical decision making	180	171	$412.22	$118.96
99285 Emergency department visit for life threatening or functioning severity	112	108	$515.78	$175.40
99283 Emergency department visit with low level of medical decision making	51	51	$257.48	$62.82
99291 Critical care, first 30-74 minutes	18	18	$931.37	$227.48
99282 Emergency department visit with straightforward medical decision making	16	16	$154.45	$41.96

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 220254

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Baystate Medical Practices Inc

40 Wright St, Palmer, MA 010691138

Phone: 4132838761

Practice Associates & Co-Workers

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

20 Associated Practitioners

Jennifer Badalamenti , PA-C

Physician Assistant

NPI 1063583169

Physician Assistant (Certified)

Dr. Zachary Demma , MD

Emergency Medicine

NPI 1093247918

Doctor of Medicine (M.D.)

Dr. Brian Hession , MD

Emergency Medicine

NPI 1093755522

Doctor of Medicine (M.D.)

Dr. Stefan Boas , MD

Emergency Medicine

NPI 1114620358

Doctor of Medicine (M.D.)

Dr. Gabriella Bilyeu , DO

Emergency Medicine

NPI 1124758719

Doctor of Osteopathic Medicine (D.O.)

Dr. Janet Magnani , MD

Emergency Medicine

NPI 1235149832

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2010

Registered at 40 WRIGHT STREET, WING EMERGENCY SERVICES, PALMER, MA 010691138 (Tel: 4132845308)

📍

Updated Business Mailing Address October 01, 2010

Registered at 60 HOSPITAL RD, ATTN CHRIS REILLY, LEOMINSTER, MA 014532205 (Tel: 9784662994)

👤

Provider Name / Credentials Updated October 01, 2010

Recorded as ROBERT SPENCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2010

Emergency Medicine (License #220254 in MA)

🟢

Initial NPI Registration & Enumeration July 31, 2006

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: 1174539191

Entity Type:

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

Enumeration Date: July 31, 2006

Last Update: October 01, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

60 Hospital Rd, Attn Chris Reilly

Leominster, MA 014532205

Phone: 9784662994

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.