David Vincent Spencer, DO
NPI 1154820157ActiveIndividual· Internal Medicine· Kirksville, MO
Internal Medicine (DO) in Kirksville, Missouri, trained at Lincoln Memorial University Medical Department (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $575,287 for 4,234 claims, against $73,688 paid for services in 2024. Amgen Inc. was the largest of 18 companies reporting payments in 2025, $874.75 in all, mostly food and beverage.
Overview
| NPI | 1154820157 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Feb 5, 2018 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2016020994 | MO |
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 - Internal Medicine (MO); Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 166 |
|---|---|
| Services billed | 2,737 across 88 procedure codes |
| Paid by Medicare | $73,688 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,234 · 8,644 30-day fills |
|---|---|
| Patients | 201 |
| Total drug cost | $575,287 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Lincoln Memorial University Medical Department |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Internal Medicine |
Medical groups
- Hannibal Regional Healthcare System IncHannibal, MO · 272 clinicians
- Kirksville Missouri Hospital Company LLCKirksville, MO · 6 clinicians
Hospital affiliations
- Hannibal Regional HospitalHannibal, MO
- Macon County Samaritan Memorial HospitalMacon, MO
- Northeast Regional Medical CenterKirksville, MO
Other facilities
- Elite Home HealthHome health agency · Kirksville, MO
Industry payments (Open Payments)
- 2025$874.75 · 50 payments from 18 companies
- 2024$759.59 · 61 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $188.72 | 15 |
| Novo Nordisk Inc | $144.73 | 4 |
| Axsome Therapeutics, Inc. | $67.37 | 4 |
| Grifols USA, LLC | $63.36 | 4 |
| Otsuka America Pharmaceutical, Inc. | $50.92 | 3 |
What the 2025 payments were for
- Food and Beverage$874.75 · 50 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 internal medicine physicians in Kirksville · All internal medicine physicians in Missouri