Active NPI
Thomas Spence, MD
- Pulmonary Disease Physician
- Saint Louis, MO
National Provider Identifier
1447221379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R5H59
- Practice address
- 3009 N Ballas Rd Ste 315a
Saint Louis, MO 63131-2324 - Phone
- (314) 996-4700
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R5H59 | MO | Primary |
Addresses
Primary practice location
3009 N Ballas Rd Ste 315a
Saint Louis, MO 63131-2324
Mailing address
3009 N Ballas Rd Ste 315a
Saint Louis, MO 63131-2324
Phone (314) 996-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003013175 | Other | MO | AREA 99 MEDICARE PIN |
| 202566014 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Saint Louis University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5544
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 72.08
- Promoting interoperability
- 100
- Improvement activities
- 20
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5H59 | MO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| MB Professional Billing Services, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Overland Medical Center | Past | Accepting new patients |
Locations
1900 State St
Chester, IL 62233
Phone (618) 826-2388
Interoperability endpoints
- tspenc23@yourcarecommunity.org
- tspence11285@direct.carenet.org
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Saint Louis, MO
- NPI 1245310291
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- Institutional Pharmacy
- Chester, IL
- NPI 1023603289
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1174663900
-
- Internal Medicine Physician
- Overland, MO
- NPI 1679637870
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1447221379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 315A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312324",
"telephone_number": "314-996-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 315A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312324",
"telephone_number": "314-996-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R5H59",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AREA 99 MEDICARE PIN",
"identifier": "003013175",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202566014",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3009 N Ballas Rd Ste 315A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.