NPPES file of Aug 9, 2026

Nathan Emil Spence, M.D.

Interventional Cardiology Physician · Spokane, WA

Nathan Emil Spence, M.D. is an interventional cardiology physician with a practice address in Spokane, Washington, and NPI 1821231986, issued on Apr 19, 2009. Check the license (Washington MD.60642429, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1821231986
Name
Nathan Emil Spence
Credential
M.D.
Primary taxonomy
Interventional Cardiology Physician 207RI0011X
License numbers
MD.60642429 WA
MD60642429 ID
Self-reported in NPPES; status is on the state search
Practice location
122 W 7TH Ave Ste 310, Spokane, WA 99204
Phone
(509) 847-2500
Enumerated
Apr 19, 2009
Record last updated
Nov 21, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(509) 847-2501
Medicare enrollment
Enrolled (PECOS I20160811001947); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 122 W 7TH Ave Ste 310

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Suzanne Anders, ARNPNurse Practitioner1750773958
  2. Kathrine Hawley, ARNPNurse Practitioner1053605717
  3. Patrick Henley, DOClinical Cardiac Electrophysiology Physician1972737096
  4. Adam Noyes, M.D.Cardiovascular Disease Physician1831483155

Verify Nathan Emil Spence in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWashington Medical Commission
    Search for license MD.60642429
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Washington license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.2 times the Medicare Part D claims of the average interventional cardiology physician in 2024

6,969 Medicare Part D claims for 796 beneficiaries, against an average of 3,179 among the 6,605 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.

  1. Nathan Spence6,969
  2. Specialty average3,179

Most prescribed

  1. Atorvastatin Calcium556 claims
  2. Eliquis524 claims
  3. Torsemide504 claims
  4. Potassium Chloride483 claims
  5. Metoprolol Succinate465 claims
  6. Lisinopril421 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $39.10

2 payments; by number, the most common kind was food and beverage; the largest payer was Pfizer Inc. The 6,394 providers of this specialty with any payment received $7,062.29 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nathan Spence$39.10
  2. Specialty average$7,062.29

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Multicare Health SystemSpokane, WA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nathan Emil Spence among 131 interventional cardiology physician records in Washington

Nathan Emil Spence, M.D. is one of 131 interventional cardiology physician records with a practice address in Washington. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 66% of them.

  • NPI issued2009 · 66% of these records are older, 27% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated2009 · median 2004 among the 109 with a school on file
  • Record last updated2016 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0011X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Interventional Cardiology Physician providers in Washington

There are 131 interventional cardiology physician records in Washington.

The 8 interventional cardiology physician records with the nearest ZIP codes

  1. Braden Batkoff, MD, FACCSpokane, WA 992041871526681
  2. William Bennett, MDSpokane, WA 992041396791026
  3. Donald Canaday, MDSpokane, WA 992041255380788
  4. Andrew Coletti, M.D.Spokane, WA 992041255381109
  5. Joel Galloway, MDSpokane, WA 992041538118062
  6. R. Dean Hill, MDSpokane, WA 992041497701536
  7. Michael Hostetler, MDSpokane, WA 992041932155082
  8. Philip Huber, MD, FACCSpokane, WA 992041518971787

Common questions

What is Nathan Emil Spence, M.D.'s NPI number?

Nathan Emil Spence, M.D.'s National Provider Identifier (NPI) is 1821231986, issued on Apr 19, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Nathan Emil Spence, M.D. located?

The NPPES record lists a practice address at 122 W 7TH Ave Ste 310, Spokane, WA, 99204. Phone: (509) 847-2500. Providers update this record themselves, so call before visiting.

How can I verify Nathan Emil Spence, M.D.'s license?

NPPES lists Washington license number MD.60642429, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nathan Emil Spence, M.D. prescribe under Medicare Part D?

In 2024, Nathan Emil Spence, M.D. had 6,969 Medicare Part D claims for 796 beneficiaries; the average among interventional cardiology physician prescribers was 3,179. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.