Steven Walter Spence, MD
NPI 1528056223ActiveIndividual· Internal Medicine· Marianna, FL
Internal Medicine (MD) in Marianna, Florida, trained at University of Florida College of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $639,073 for 6,384 claims, against $81,415 paid for services in 2024. Novo Nordisk Inc was the largest of 2 companies reporting payments in 2025, $33.58 in all, mostly food and beverage.
Overview
| NPI | 1528056223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 7, 2005 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | FLME0079376 | 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 - Internal Medicine (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 346 |
|---|---|
| Services billed | 1,176 across 28 procedure codes |
| Paid by Medicare | $81,415 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,384 · 10,643 30-day fills |
|---|---|
| Patients | 670 |
| Total drug cost | $639,073 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Florida College of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Internal Medicine |
Medical group
- ER Physician Group at Jackson HospitalMarianna, FL · 154 clinicians
Hospital affiliations
- Doctors Memorial HospitalBonifay, FL
- Flowers HospitalDothan, AL
- Jackson HospitalMarianna, FL
- Southeast Health Medical CenterDothan, AL
Other facilities
- Centerwell Home HealthHome health agency · Marianna, FL
- Concierge Home CareHome health agency · Panama City, FL
- Enhabit Home HealthHome health agency · Blountstown, FL
- Emerald Coast HospiceHospice · Panama City, FL
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
- Chipola Health and Rehabilitation CenterNursing home · Marianna, FL
- Marianna Health and RehabilitationNursing home · Marianna, FL
Industry payments (Open Payments)
- 2025$33.58 · 2 payments from 2 companies
- 2024$46.61 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $18.56 | 1 |
| Exact Sciences Corporation | $15.02 | 1 |
What the 2025 payments were for
- Food and Beverage$33.58 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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