Nicolle Spence, M.D.
NPI 1013145812ActiveIndividual· General Practice· Bayamon, PR
General Practice (M.D.) with ER Specialized Care LLC, practicing in Bayamon, Puerto Rico. Their prescriptions cost Medicare Part D more than their services did: $26,100 for 265 claims, against $2,135 paid for services in 2024. Lists Auxilio Mutuo Hospital as a hospital affiliation.
Overview
| NPI | 1013145812 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 30, 2009 |
| Last updated in NPPES | Aug 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 19243 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 44 across 7 procedure codes |
| Paid by Medicare | $2,135 |
Part D prescriptions in 2024
| Prescriptions (claims) | 265 · 302 30-day fills |
|---|---|
| Patients | 171 |
| Total drug cost | $26,100 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- ER Specialized Care LLCHato Rey, PR · 19 clinicians
Hospital affiliation
- Auxilio Mutuo HospitalSan Juan, PR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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