NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1518239391 DO
Verify on CMS → Courtney Spence, DO
Hospitalist Physician in Cody, Wyoming.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
8K
Medicare Part D claims · 604 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.2/100
▼ 22 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Courtney Spence, DO reported a CMS MIPS final score of 61.2/100 - below the 83.1 national average - and filed 7,691 Medicare Part D claims in 2023.
- 61.2/100
- MIPS score · -22 vs avg
- 8K
- Part D claims, 2023
- 87%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Courtney Spence, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
61 6th percentile higher than 6% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Courtney Spence, DO sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Courtney Spence, DO writes more Part D claims than 98% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Courtney Spence, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Courtney Spence, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Courtney Spence, DO?
Below national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
7,691 9× vs specialty avg
MIPS final score
61.2/100 21.9 pts vs avg
Specialty distribution in Wyoming
How Hospitalist Physician compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Courtney Spence, DO's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 61.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 61.2/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Courtney Spence, DO appears in the CMS NPPES registry as a Hospitalist Physician provider holding DO credentials at 424 YELLOWSTONE AVE, Cody, WY, 82414, with a listed phone of (307) 578-2975. NPI 1518239391 was issued on 02/08/2012.
Medicare Part D records for calendar year 2023 show 7,691 prescription claims written by this provider, covering 604 Medicare beneficiaries and totaling roughly $700K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 61.2/100 for the 2023 performance year (Quality 71.8, Cost 15.4), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1518239391 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 02/08/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
61.1748
Final Score
Avg: 83.1
71.8372
Quality
15.412
Cost
80
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Courtney Spence, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
West Park Hospital District
Cody, WY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Courtney Spence, DO - brand share 13.0%
Hospitalist Physician average
13% brand-name claims vs 87% generic, on 7,691 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
7,691
Total Claims
$700K
Total Drug Cost
604
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 19,408
- Total Day Supply
- 571,480
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $548K
- Generic Drug Cost
- $148K
- Opioid Claims
- 221 (2.9% rate)
- Antibiotic Claims
- 102
Patient Demographics
- Average Patient Age
- 74.2 years
- Avg HCC Risk Score
- 0.89
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 21, 65-74: 300, 75-84: 230, 85+: 53
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Courtney Spence, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
659 claims
- Atorvastatin Calcium
Atorvastatin Calcium
417 claims
- Losartan Potassium
Losartan Potassium
339 claims
- Omeprazole
Omeprazole
284 claims
- Amlodipine Besylate 262
Amlodipine Besylate
262 claims
- Lisinopril 241
Lisinopril
241 claims
- Rosuvastatin Calcium 188
Rosuvastatin Calcium
188 claims
- Simvastatin 156
Simvastatin
156 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 659 |
| Atorvastatin Calcium | 417 |
| Losartan Potassium | 339 |
| Omeprazole | 284 |
| Amlodipine Besylate | 262 |
| Lisinopril | 241 |
| Rosuvastatin Calcium | 188 |
| Simvastatin | 156 |
| Potassium Chloride | 152 |
| Metoprolol Succinate | 150 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Courtney Spence, DO fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Courtney Spence, DO's 7,691 claims are above the specialty average of 888.
Nearby Hospitalist Physician Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Spence.
Dr. Aminata Aw
NP
Cheyenne, WY
Dr. Rachael Bracke
M.D.
Cody, WY
Dr. Deborah Brackett
MD
Cheyenne, WY
Dr. Connor Deal
M.D.
Cody, WY
Dr. Liron Gokovski
MD
Rock Springs, WY
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wyoming medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Courtney Spence, DO's specialty? ▼
Courtney Spence, DO specializes in Hospitalist Physician and practices in Cody, Wyoming. Credentials: DO.
How much does Courtney Spence, DO prescribe under Medicare Part D? ▼
In 2023, Courtney Spence, DO wrote 7,691 Medicare Part D claims totaling $700K in drug costs for 604 beneficiaries.
What is Courtney Spence, DO's Medicare quality score? ▼
Courtney Spence, DO has a CMS MIPS Final Score of 61.2/100 (Quality: 71.8, Cost: 15.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Courtney Spence, DO located? ▼
Courtney Spence, DO is located at 424 YELLOWSTONE AVE, Cody, WY, 82414. Phone: (307) 578-2975.
What is Courtney Spence, DO's NPI number? ▼
Courtney Spence, DO's National Provider Identifier (NPI) is 1518239391, issued on 02/08/2012.
Does Courtney Spence, DO prescribe more brand-name or generic drugs? ▼
Courtney Spence, DO's prescribing is 13% brand-name and 87% generic drugs by claim count, with $548K in brand drug costs.
Does Courtney Spence, DO prescribe opioids? ▼
Yes, Courtney Spence, DO had 221 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Courtney Spence, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Courtney Spence, DO's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Courtney Spence, DO accept Medicare? ▼
Courtney Spence, DO appears in CMS Medicare data with 7,691 Part D claims and 604 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Courtney Spence, DO's credentials? ▼
Courtney Spence, DO's NPI is 1518239391 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.