JOHN A. SPENCE M. D.
NPI 1497794796
Family Medicine in Marianna, FL

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.02/100
CMS Quality Rating
4284 KELSON AVE, MARIANNA, FL 32446(850) 482-2910(850) 482-2836 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2022, May 11, 2021 (2 updates tracked since 2021).

About John A. Spence M. D. NPPES

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

JOHN A. SPENCE M. D. (NPI 1497794796) is an individual family medicine provider in Marianna, Florida, licensed in Florida (84174) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497794796
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN A. SPENCECredential: M. D.
Location Address4284 KELSON AVEMarianna, FL 32446-2948
Mailing Address4284 Kelson AvenueMarianna, FL 32446 · (850) 482-2910 · Fax (850) 482-2836
Fax(850) 482-2836
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
NPI 1497794796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · 84174
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.
4284 KELSON AVE, Marianna, FL 32446

Secondary Practice Locations 2

Location 11798 Georgia StAlford, FL 32420-6800 · Phone (850) 526-6727 · Fax (850) 526-1027
Location 24896 Highway 90 Ste AMarianna, FL 32446-7840 · Phone (850) 526-6700 · Fax (850) 526-6701

Other Identifiers 4

OtherP00025788Medicare Railroad
Other13614FL · Bluecross Blueshield Florida
Medicaid264600500FL
OtherE8248ZFL · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John A. Spence M. D. 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 ID7315006939
PECOS Enrollment IDI20081111000375
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.

Areas of Expertise CMS Part B claims 25

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
558 services245 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
228 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services119 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
170 services22 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.
150 services72 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
144 services53 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson Hospital

Acute Care Hospitals · Marianna, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100142
Location4250 Hospital DrMarianna, FL 32446 · Jackson County
Emergency services Birthing friendly

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Calhoun-Liberty Hospital

Critical Access Hospitals · Blountstown, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101304
Location20370 NE Burns AveBlountstown, FL 32424 · Calhoun County
Emergency services

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101308
Location1360 Brickyard RdChipley, FL 32428 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32446 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56
Promoting Interoperability97
Improvement Activities40
Cost60.39

Referred Medical Equipment & Supplies CMS DME claims 12

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 suppliers35 claims96 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims23 services$1.23 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
5 suppliers95 claims97 services$20.85 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers30 claims36 services$6.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$46.11 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 12

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

Nurse Practitioner
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Specialist
4284 KELSON AVE
MARIANNA, FL 32446
Neurological Surgery
4284 KELSON AVE
MARIANNA, FL 32446
Family Medicine
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner (Family)
4284 KELSON AVE
MARIANNA, FL 32446
Nurse Practitioner
4284 KELSON AVE
MARIANNA, FL 32446

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 John Spence's NPI number?

The NPI number for John Spence is 1497794796. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is John Spence located?

John Spence practices at 4284 Kelson Ave, Marianna, FL 32446. The listed phone number is (850) 482-2910.

What is John Spence's specialty?

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

Is John Spence enrolled in Medicare?

Yes. John 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.

What insurance does John Spence accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list John 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 John Spence affiliated with any hospitals?

According to CMS data, John Spence is affiliated with Jackson Hospital, Hca Florida Gulf Coast Hospital, Calhoun-Liberty Hospital and Northwest Florida Community Hospital.

When was this NPI record last updated?

The NPPES record for John Spence was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.