Physician

Denise Spence, MD

According to 2025 Medicare claims, Denise Spence, MD (NPI: 1447358106) practices internal medicine in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC (NPI: 1295787919; TIN: 043194547) and primary practice location at 01002-2357. Spence is affiliated with the UMASS Memorial Accountable Care Organization, INC. (ACO ID: A2598) and Mass General Brigham ACO, LLC (ACO ID: A4641), participating under the MSSP model.

Spence's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 547 traditional Medicare patients, billed 2,139 HCPCS/CPT codes, and received $156,789 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,199 prescription claims across 835 beneficiaries totaling $564,991 in drug costs, led by Eliquis (Apixaban). DME data shows 48 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $251,598 to $564,991. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,871 and ending at $7,223.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	369	1,951	$112,246
2016	421	2,022	$115,627
2017	473	2,176	$122,447
2018	475	1,927	$115,034
2019	478	2,214	$129,580
2020	499	1,895	$115,291
2021	544	2,100	$152,215
2022	569	1,918	$148,360
2023	546	1,663	$136,461
2024	547	2,139	$156,789

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	286	5,485	$251,598
2016	394	6,705	$306,714
2017	575	7,787	$389,716
2018	629	7,421	$420,012
2019	658	7,186	$385,589
2020	767	7,804	$423,347
2021	724	7,860	$441,027
2022	747	7,812	$465,564
2023	820	7,759	$514,719
2024	835	8,199	$564,991

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	36	145	$3,069
2016	33	152	$1,621
2017	27	183	$1,995
2018	20	143	$3,982
2019	20	93	$1,579
2020	17	116	$2,912
2021	19	73	$631
2022	16	82	$1,276
2023	13	70	$1,528
2024	11	48	$516

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	280	280	$131
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	564	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	277	402	$61
G0008	Administration of influenza virus vaccine	90	92	$33
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	137	183	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	93	5,735	$107,575
Jardiance	Empagliflozin	37	3,080	$58,529
Xarelto	Rivaroxaban	32	1,950	$36,871
Ozempic	Semaglutide	19	844	$27,510
Breo Ellipta	Fluticasone/Vilanterol	32	1,140	$15,201

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	11	31	$294
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory	Y	N/R	17	$221

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Denise Spence, MD?

Tedicare shows public-source Medicare data for Denise Spence, MD (NPI 1447358106), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Denise Spence, MD have ACO affiliation data?

Denise Spence, MD is shown with ACO affiliation data for UMASS Memorial Accountable Care Organization, INC. (MSSP, ACO ID A2598) and Mass General Brigham ACO, LLC (MSSP, ACO ID A4641).

What billing organization is linked to Denise Spence, MD?

Denise Spence, MD is linked to MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC (billing NPI 1295787919) in the available physician profile data.

Does Denise Spence, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.