DR. WILLIAM SCOTT SPENCE MD
NPI 1255351458
Family Medicine in St Maries, ID

Q: What is William Spence's NPI number?

The NPI number for William Spence is 1255351458. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Dr. Scott Spence MD.

Q: What is William Spence's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for William Spence was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

229 S 7TH ST STE 300, ST MARIES, ID 83861(208) 245-2591(208) 245-5246 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2024, Apr 29, 2024, Feb 27, 2023 and 1 more (4 updates tracked since 2016).

On this page

About Dr. William Scott Spence Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM SCOTT SPENCE MD (NPI 1255351458) is an individual family medicine provider in St Maries, Idaho, licensed in Idaho (M-11622) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255351458

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WILLIAM SCOTT SPENCECredential: MD

Location Address229 S 7TH ST STE 300St Maries, ID 83861-1803

Mailing Address229 S 7th StSt Maries, ID 83861-1803 · (208) 245-5551 · Fax (208) 245-5246

Phone(208) 245-2591

Fax(208) 245-5246

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1999

Enumeration DateJuly 20, 2006

Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1255351458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-11622

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License M-11622 (ID)

Also ListedHospitalistTaxonomy 208M00000X · License M-11622 (ID)

229 S 7TH ST STE 300, St Maries, ID 83861

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Other Names 1

Professional Name (2)Dr. Scott Spence Md

Secondary Practice Locations 2

Location 1229 S 7th StSt Maries, ID 83861-1803 · Phone (208) 245-5551 · Fax (208) 245-5246

Location 2229 S 7th St Ste 101St Maries, ID 83861-1803 · Phone (208) 245-7079 · Fax (208) 245-5246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Scott Spence Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719966811

PECOS Enrollment IDI20120612000136

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show William Spence reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benewah Community Hospital

Same address

Rural Health

229 S 7TH ST STE 101 & 300
St Maries, ID 83861

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1548320435 (Idaho)
60 clinicians in this Medicare group

NPI 1386632180 (208) 245-2591

Meza Post Acute And Long Term Care, PLLC

28 mi

Geriatric Medicine

2426 N MERRITT CREEK LOOP STE A
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
30 clinicians in this Medicare group

NPI 1932725215 (208) 819-2183

Meza Consulting LLC

28 mi

Family Medicine

2426 N MERRITT CREEK LOOP STE A
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
18 clinicians in this Medicare group

NPI 1861867426 (208) 819-2183

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

317 services43 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

131 services39 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

29 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

16 services16 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID

OwnershipGovernment - Local

CMS Certification Number131317

Location229 South 7th StreetSt Maries, ID 83861 · Benewah County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83861 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers59 claims178 services$6.32 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers23 claims24 services$2.94 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

3 suppliers12 claims12 services$1.84 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers25 claims49 services$1.17 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers12 claims12 services$108.11 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers15 claims39 services$43.00 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers15 claims90 services$3.19 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier87 claims87 services$18.60 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier21 claims21 services$7.45 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers30 claims30 services$47.46 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers203 claims205 services$106.51 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers80 claims80 services$36.60 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims720 services$0.33 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,800 services$0.01 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims2,880 services$0.99 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers117 claims117 services$184.14 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier11 claims11 services$154.69 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier13 claims26 services$12.65 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers12 claims12 services$23.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD DOUGLAS GANDY DO

Internal Medicine

229 S 7TH ST STE 300
ST MARIES, ID 83861

Benewah County (208) 245-2591

DR. DANIEL COOPER WESTER MD

Family Medicine

229 S 7TH ST STE 300
ST MARIES, ID 83861

Benewah County (208) 245-2591

DR. MICHAEL DAVID ABRAHAMS MD

Family Medicine

229 S 7TH ST STE 300
ST MARIES, ID 83861

Benewah County (208) 245-2591

MRS. KARA LEIGH SEIGLEY ARNP

Nurse Practitioner (Family)

229 S 7TH ST STE 300
ST MARIES, ID 83861

Benewah County (208) 245-2591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Spence's NPI number?

The NPI number for William Spence is 1255351458. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Dr. Scott Spence MD.

Where is William Spence located?

William Spence practices at 229 S 7th St Ste 300, St Maries, ID 83861. The listed phone number is (208) 245-2591.

What is William Spence's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Spence enrolled in Medicare?

Yes. William Spence is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for William Spence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Spence reassigns Medicare benefits to 3 organizations: Benewah Community Hospital (St Maries, ID), Meza Post Acute And Long Term Care, PLLC (Coeur D Alene, ID) and Meza Consulting LLC (Coeur D Alene, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Spence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Spence accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list William Spence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Spence affiliated with any hospitals?

According to CMS data, William Spence is affiliated with Kootenai Health and Benewah Community Hospital.

When was this NPI record last updated?

The NPPES record for William Spence was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.