NPPES file of Aug 9, 2026

Thomas Spence, MD

Pulmonary Disease Physician · Saint Louis, MO

Thomas Spence, MD is a pulmonary disease physician with a practice address in Saint Louis, Missouri, and NPI 1447221379, issued on Jan 30, 2006. Check the license (Missouri R5H59, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; 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
1447221379
Name
Thomas Spence
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
R5H59 MO
Self-reported in NPPES; status is on the state search
Practice location
3009 N Ballas RD Ste 315A, Saint Louis, MO 63131
Phone
(314) 996-4700
Enumerated
Jan 30, 2006
Record last updated
Nov 1, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicaid ID
202566014 MO
Medicare enrollment
Enrolled (PECOS I20100702000497); accepts Medicare assignment
Medical or professional school
Saint Louis University School Of Medicine, 1979
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.
Download card Updates feed

Also registered at 3009 N Ballas RD Ste 315A

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

  1. Shiraz Daud, M.D.Pulmonary Disease Physician1346206612
  2. Patrick Duncan, MDPulmonary Disease Physician1326577172
  3. Kiran Sarikonda, MDPulmonary Disease Physician1881641744

Verify Thomas Spence in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license R5H59
    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 Missouri 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.

Is this page about you? You can ask us to correct, restrict or remove it: how.

2.1 times the Medicare Part D claims of the average pulmonary disease physician in 2024

2,966 Medicare Part D claims for 421 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 55% of claims.

  1. Thomas Spence2,966
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta638 claims
  2. Albuterol Sulfate Hfa412 claims
  3. Montelukast Sodium373 claims
  4. Anoro Ellipta142 claims
  5. Breo Ellipta142 claims
  6. Azithromycin141 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): 82.1 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 score82.1
  2. Costout of 100 · 30%74.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities20 of 40 points · 15%50.0

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

Industry payments in 2024: $2,483.82

113 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Thomas Spence$2,483.82
  2. Specialty average$5,159.88

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. Missouri Baptist Physician Services LLCSaint Louis, MO

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

Thomas Spence among 332 pulmonary disease physician records in Missouri

Thomas Spence, MD is one of 332 pulmonary disease physician records with a practice address in Missouri. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.

  • NPI issued2006 · 13% of these records are older, 50% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated1979 · median 2003 among the 246 with a school on file
  • Record last updated2021 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Missouri

There are 332 pulmonary disease physician records in Missouri.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Bahaa Bedair, MDSaint Louis, MO 631311356780449
  2. James Bosanquet, MDSaint Louis, MO 631311164650875
  3. Mitchell Botney, M.D.Saint Louis, MO 631311780650549
  4. Shiraz Daud, M.D.Saint Louis, MO 631311346206612
  5. Patrick Duncan, MDSaint Louis, MO 631311326577172
  6. Kiran Sarikonda, MDSaint Louis, MO 631311881641744
  7. William Bzdawka, PHARMD, MDSaint Louis, MO 631281831452671
  8. Kasey Cornell, M.D.Saint Louis, MO 631281790047082

Common questions

What is Thomas Spence, MD's NPI number?

Thomas Spence, MD's National Provider Identifier (NPI) is 1447221379, issued on Jan 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Thomas Spence, MD located?

The NPPES record lists a practice address at 3009 N Ballas RD Ste 315A, Saint Louis, MO, 63131. Phone: (314) 996-4700. Providers update this record themselves, so call before visiting.

How can I verify Thomas Spence, MD's license?

NPPES lists Missouri license number R5H59, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

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

In 2024, Thomas Spence, MD had 2,966 Medicare Part D claims for 421 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Thomas Spence, MD's MIPS final score?

The 2023 MIPS final score is 82.1 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.