Physician

Isaac Spence, D.O.

According to 2025 Medicare claims, Isaac Spence, D.O. (NPI: 1760772552) practices family practice in the Blacksburg-Christiansburg-Radford, VA market, with the plurality of this provider's patient population coming from Montgomery, VA. This provider's primary affiliated billing organization is CARILION HEALTHCARE CORPORATION (NPI: 1447206370; TIN: 540506332) and primary practice location at 24060-3880. Spence is affiliated with the Doctors Connected (ACO ID: A4949), participating under the MSSP model.

Spence's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 568 traditional Medicare patients, billed 3,673 HCPCS/CPT codes, and received $176,771 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 10,188 prescription claims across 646 beneficiaries totaling $897,974 in drug costs, led by Eliquis (Apixaban). DME data shows 422 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 $629,921 to $897,974. In contrast, DME billing represents a smaller volume and rose steadily, from $19,040 to $22,144.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	667	4,322	$167,604
2016	664	4,424	$163,494
2017	641	4,185	$155,437
2018	720	3,928	$148,858
2019	643	3,968	$162,599
2020	570	3,087	$131,450
2021	608	3,405	$172,261
2022	689	3,586	$180,771
2023	716	3,729	$206,286
2024	568	3,673	$176,771

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	590	7,660	$629,921
2016	582	8,183	$633,780
2017	573	7,952	$574,754
2018	709	8,202	$640,000
2019	736	8,351	$735,099
2020	737	8,337	$770,968
2021	727	8,715	$824,637
2022	902	9,953	$1,020,372
2023	705	9,843	$1,039,174
2024	646	10,188	$897,974

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	56	286	$12,649
2016	108	649	$23,547
2017	62	493	$11,683
2018	67	441	$10,582
2019	101	630	$15,851
2020	84	545	$16,403
2021	53	421	$17,560
2022	94	498	$22,199
2023	113	549	$27,282
2024	76	422	$19,663

* / # = 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	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	961	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	132	153	$50
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	318	626	$12
36415	Insertion of needle into vein for collection of blood sample	445	692	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	182	9,375	$175,444
Mounjaro	Tirzepatide	60	2,296	$82,574
Jardiance	Empagliflozin	72	3,712	$69,564
Ozempic	Semaglutide	67	2,160	$69,497
Trulicity	Dulaglutide	49	1,742	$56,498

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	52	$4,331
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	13	$3,382
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	21	$2,013
A7031	Face mask interface, replacement for full face mask, each	N	N/R	20	$1,688
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	11	30	$1,532

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 Isaac Spence, D.O.?

Tedicare shows public-source Medicare data for Isaac Spence, D.O. (NPI 1760772552), 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 Isaac Spence, D.O. have ACO affiliation data?

Isaac Spence, D.O. is shown with ACO affiliation data for Doctors Connected (MSSP, ACO ID A4949).

What billing organization is linked to Isaac Spence, D.O.?

Isaac Spence, D.O. is linked to CARILION HEALTHCARE CORPORATION (billing NPI 1447206370) in the available physician profile data.

Does Isaac Spence, D.O. 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.