John A. Spence, M. D.
NPI 1497794796ActiveIndividual· Family Medicine· Marianna, FL
Family Medicine (M. D.) with ER Physician Group at Jackson Hospital, practicing in Marianna, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,739,775 for 16,563 claims, against $142,103 paid for services in 2024. Novo Nordisk Inc was the largest of 18 companies reporting payments in 2025, $2,261 in all, mostly food and beverage. Lists Calhoun-Liberty Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1497794796 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. D. |
| Sole proprietor | No |
| NPI issued | Jun 5, 2006 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Nov 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 84174 | FL |
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 - Family Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 430 |
|---|---|
| Services billed | 2,667 across 71 procedure codes |
| Paid by Medicare | $142,103 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16,563 · 29,370 30-day fills |
|---|---|
| Patients | 800 |
| Total drug cost | $1,739,775 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- ER Physician Group at Jackson HospitalMarianna, FL · 154 clinicians
Hospital affiliations
- Calhoun-Liberty HospitalBlountstown, FL
- Jackson HospitalMarianna, FL
- Northwest Florida Community HospitalChipley, FL
Other facilities
- Centerwell Home HealthHome health agency · Marianna, FL
- Concierge Home CareHome health agency · Panama City, FL
- Enhabit Home HealthHome health agency · Blountstown, FL
- Nhc HomecareHome health agency · Chipley, FL
- Emerald Coast HospiceHospice · Panama City, FL
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
- Chipola Health and Rehabilitation CenterNursing home · Marianna, FL
- Courtyard Rehabilitation By HarborviewNursing home · Marianna, FL
- Marianna Health and RehabilitationNursing home · Marianna, FL
Industry payments (Open Payments)
- 2025$2,261 · 124 payments from 18 companies
- 2024$2,339 · 144 payments from 26 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $472.33 | 22 |
| Astrazeneca Pharmaceuticals LP | $340.46 | 20 |
| Abbvie Inc. | $312.13 | 15 |
| Pfizer Inc. | $188.68 | 9 |
| Glaxosmithkline, LLC. | $178.78 | 11 |
What the 2025 payments were for
- Food and Beverage$2,261 · 124 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 family medicine physicians in Marianna · All family medicine physicians in Florida