Meredith Spencer, FNP
NPI 1205376167ActiveIndividual· Nurse Practitioner, Family· Radford, VA
Nurse Practitioner, Family (FNP) with Lewis Gale Physicians LLC, practicing in Radford, Virginia. Their prescriptions cost Medicare Part D more than their services did: $377,397 for 5,785 claims, against $70,519 paid for services in 2024. Novo Nordisk Inc was the largest of 15 companies reporting payments in 2025, $1,125 in all, mostly food and beverage. Lists Carilion New River Valley Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1205376167 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Feb 26, 2017 |
| Last updated in NPPES | Feb 1, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0024174610 | VA |
| Nurse Practitioner | 363L00000X | 0024174610 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 181 |
|---|---|
| Services billed | 1,503 across 35 procedure codes |
| Paid by Medicare | $70,519 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,785 · 11,111 30-day fills |
|---|---|
| Patients | 398 |
| Total drug cost | $377,397 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lewis Gale Physicians LLCLow Moor, VA · 189 clinicians
Hospital affiliations
- Carilion New River Valley Medical CenterChristiansburg, VA
- Lewisgale Hospital MontgomeryBlacksburg, VA
- Lewisgale Hospital PulaskiPulaski, VA
Industry payments (Open Payments)
- 2025$1,125 · 53 payments from 15 companies
- 2024$909.65 · 44 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $249.99 | 12 |
| Amgen Inc. | $153.96 | 11 |
| Xeris Pharmaceuticals, Inc. | $134.97 | 1 |
| Pfizer Inc. | $98.44 | 5 |
| Abbott Laboratories | $78.07 | 4 |
What the 2025 payments were for
- Food and Beverage$1,125 · 53 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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