NPPES file of Aug 9, 2026

Steven Walter Spence, MD

Internal Medicine Physician · Marianna, FL

Steven Walter Spence, MD is an internal medicine physician with a practice address in Marianna, Florida, and NPI 1528056223, issued on Oct 7, 2005. Check the license (Florida FLME0079376, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1528056223
Name
Steven Walter Spence
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
FLME0079376 FL
Self-reported in NPPES; status is on the state search
Practice location
4318 5TH Ave, Marianna, FL 32446
Phone
(850) 526-5300
Enumerated
Oct 7, 2005
Record last updated
Mar 7, 2023
Fax
(850) 482-5021
Medicaid ID
261373500 FL
Medicare enrollment
Enrolled (PECOS I20061019000151); accepts Medicare assignment
Medical or professional school
University Of Florida College Of Medicine, 1998
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 4318 5TH Ave

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

  1. Melanie Alexander, ARNPFamily Nurse Practitioner1679608269
  2. Anna Brunner, MSN, ARNP-CFamily Nurse Practitioner1699916098
  3. Richard Christopher, M.D.Internal Medicine Physician1093703704
  4. Wayde RetherfordInternal Medicine Physician1861952624
  5. Julie Smith, ARNP-C, DNPFamily Nurse Practitioner1053462085
  6. Megan Tyler, ARNPFamily Nurse Practitioner1932675501

Verify Steven Walter Spence in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license FLME0079376
    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 Florida 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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2.0 times the Medicare Part D claims of the average internal medicine physician in 2024

6,384 Medicare Part D claims for 670 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 802 claims were for opioids.

  1. Steven Spence6,384
  2. Specialty average3,176

Most prescribed

  1. Hydrocodone-Acetaminophen264 claims
  2. Tramadol Hcl258 claims
  3. Atorvastatin Calcium233 claims
  4. Alprazolam217 claims
  5. Rosuvastatin Calcium181 claims
  6. Eliquis176 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.

The practice group's MIPS final score for 2023 (Medicare payment program): 76 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score56.0
  2. Costout of 100 · 30%60.4
  3. Promoting interoperabilityout of 100 · 25%97.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $46.61

2 payments; by number, the most common kind was food and beverage; the largest payer was Dexcom, Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Steven Spence$46.61
  2. Specialty average$1,303.06

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. ER Physician Group AT Jackson HospitalMarianna, FL

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

Steven Walter Spence among 10,151 internal medicine physician records in Florida

Steven Walter Spence, MD is one of 10,151 internal medicine physician records with a practice address in Florida. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 90% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated1998 · median 2004 among the 6,606 with a school on file
  • Record last updated2023 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

8 internal medicine physician records list a practice address in Marianna

They are 8 of the 353 NPPES records with a practice address in Marianna, and 10,151 internal medicine physician records in Florida.

The 8 internal medicine physician records with the nearest ZIP codes

  1. John Brunner, D.O.Marianna, FL 324461528594090
  2. Cynthia BryanMarianna, FL 324461932177557
  3. Richard Christopher, M.D.Marianna, FL 324461093703704
  4. Joe Gay, MEDICAL DOCTORMarianna, FL 324461548243728
  5. Murali Krishna Maddipati, M.D.,Marianna, FL 324461285814541
  6. Mechelle Moody, MDMarianna, FL 324461477757839
  7. Wayde RetherfordMarianna, FL 324461861952624
  8. Malvinder Ajit, MDLynn Haven, FL 324441932197076

Common questions

What is Steven Walter Spence, MD's NPI number?

Steven Walter Spence, MD's National Provider Identifier (NPI) is 1528056223, issued on Oct 7, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Steven Walter Spence, MD located?

The NPPES record lists a practice address at 4318 5TH Ave, Marianna, FL, 32446. Phone: (850) 526-5300. Providers update this record themselves, so call before visiting.

How can I verify Steven Walter Spence, MD's license?

NPPES lists Florida license number FLME0079376, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Steven Walter Spence, MD prescribe under Medicare Part D?

In 2024, Steven Walter Spence, MD had 6,384 Medicare Part D claims for 670 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Steven Walter Spence, MD's MIPS final score?

The 2023 MIPS final score is 76 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.