Active NPI 1912141250 Individual Practitioner Female Practitioner

Dr. Laura Heise Spence , MD

Internal Medicine • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Laura Spence, MD is a certified Internal Medicine practicing in Spokane, WA. With approximately 17 years of clinical experience since graduating from University Of New Mexico School Of Medicine in 2009, Dr. Spence delivers high-quality medical care to the local community at 101 W 8TH AVE.

Dr. Spence is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

101 W 8th Ave

Spokane, WA 992042307

Telephone 5094743260

Associated Practice Facility / Clinic

🏢 Pediatric Critical Care Associates Ps Facility NPI 1548210719

Medicare Profile & Education

Medical School

University Of New Mexico School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spokane, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -1.7 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

235 Specialists

Practicing in Spokane, WA (3169 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spence (17 Years) 17 Yrs

Spokane Specialty Average (18.7 Years) 18.7 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$528.00	$168.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	13	$362.00	$115.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	38	$341.00	$117.17
99239 Hospital discharge day management, more than 30 minutes	24	24	$329.00	$112.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$498.00	$170.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	53	$269.00	$98.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	27	$187.00	$71.28
99239 Hospital discharge day management, more than 30 minutes	22	22	$277.00	$104.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$521.00	$194.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	47	$258.00	$103.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	20	$180.00	$72.17
99239 Hospital discharge day management, more than 30 minutes	22	22	$266.00	$107.09
99220 Hospital observation care, typically 70 minutes	16	16	$455.00	$173.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$503.00	$200.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	53	$256.00	$106.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$177.00	$73.75
99239 Hospital discharge day management, more than 30 minutes	25	25	$263.00	$109.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$497.00	$207.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	47	$255.00	$105.02
99239 Hospital discharge day management, more than 30 minutes	32	32	$263.00	$108.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$496.00	$204.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$178.00	$73.47
99220 Hospital observation care, typically 70 minutes	19	19	$455.00	$187.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	78	$245.00	$103.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	42	$171.00	$72.17
99239 Hospital discharge day management, more than 30 minutes	32	32	$254.00	$108.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$478.00	$202.94
99220 Hospital observation care, typically 70 minutes	12	12	$438.00	$186.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	98	$245.00	$102.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	62	$170.00	$71.31
99239 Hospital discharge day management, more than 30 minutes	39	39	$253.00	$104.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$477.00	$199.90
99217 Hospital observation care on day of discharge	14	14	$171.00	$72.08

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD60667425

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License RI LP01671

Hospital & Practice Group Affiliations

Providence Health And Services Washington

101 W 8th Ave, Spokane, WA 992042307

Phone: 5094742880

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Lonika Sood , MD

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NPI 1063642981

Doctor of Medicine (M.D.)

Dr. Jacquelyn Victoroff , MD

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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 November 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2016

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 5094743260)

📍

Updated Business Mailing Address November 17, 2016

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤

Provider Name / Credentials Updated November 17, 2016

Recorded as LAURA SPENCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2016

Internal Medicine (License #MD60667425 in WA)

🟢

Initial NPI Registration & Enumeration April 30, 2009

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: 1912141250

Entity Type:

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

Enumeration Date: April 30, 2009

Last Update: November 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.