Dr. John A. Spence, MD

  • Marianna, FL
  • Family medicine physician
NPI1497794796PAC ID7315006939
Medicare services, 2024
2,471
Medicare patients, 2024
430
Part D claims, 2024
16,563
MIPS score, 2024
75
Hospital affiliations
4
Practice address
4250 Hospital Dr, Marianna, FL 32446
Practice phone
Call (850) 526-2200
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Jackson Hospital

Hospital · Marianna, Florida

See all 18 affiliations

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Dr. John A. Spence is a family medicine physician in Marianna, Florida

Dr. Spence practices at Jackson Hospital in Marianna, Florida, part of Jackson County Hospital District.

Dr. Spence's NPI, 1497794796, was assigned on June 5, 2006. Dr. Spence graduated from Universidad Iberoamericana (UNIBE) in 1998. Dr. Spence holds Florida license 84174.

NPI and contact details
Medicare PAC ID
7315006939
NPI enumeration date
June 5, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(850) 526-2200
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
54
Medical school graduation
1998

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. John A. Spence practices at Jackson Hospital in Marianna, Florida

Dr. Spence's primary practice is Jackson Hospital, at 4250 Hospital Dr, Marianna, FL 32446 in Jackson County. The practice phone is (850) 526-2200.

  • Jackson Hospital
    4250 Hospital Dr, Marianna, FL 32446 · Jackson CountyPhone(850) 526-2200

Source: Dmand AI Affiliation Data

Dr. John A. Spence is affiliated with 16 sites of care and 2 medical groups

Dr. Spence's primary practice is Jackson Hospital in Marianna, Florida, part of Jackson County Hospital District. Dr. Spence is also affiliated with HCA Florida Gulf Coast Hospital. The medical group on file is Jackson Hospital. Dmand AI also links Dr. Spence to 2 more hospitals, 4 home health agencies, 3 skilled nursing facilities, 2 group practices and clinics, 2 hospices, 1 rural health clinic and 1 medical group, each named with a free account.

See all 18 affiliations for Dr. Spence

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. John A. Spence's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Spence practices, 16 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Jackson HospitalAvailable with a free account
+15 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Spence practices

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Dr. John A. Spence is one of 7,735 family medicine physicians in Florida

Family medicine is Dr. Spence's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. Spence is board certified in family medicine by the American Board of Family Medicine. Dmand AI has Dr. Spence's licenses on file in 2 states: Florida and Kentucky.

Specialties and state licenses

  • Family medicine, FloridaPrimaryLicense 84174 · 2002 to 2026 · taxonomy 207Q00000X
  • Kentucky license2020 to 2021

Clinical focus

Dmand AI lists acid reflux, acute respiratory failure, acute sinusitis, acute skin infection, alzheimer's disease, aneurysm, anxiety and arthritis among the conditions Dr. Spence treats.

Family medicine physicians near Dr. Spence

Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. John A. Spence billed Medicare for 2,471 services in 2024

CMS data shows 2,471 Medicare services from Dr. Spence across 26 procedure codes in 2024, for 430 Medicare patients. Medicare paid $134,621 for them.

Medicare services, 20242,471
Medicare patients430
Paid by Medicare$134,621
Procedure codes26

Dr. Spence's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,6272024: 1,6101%
Other services
2023: 3142024: 40930%
Drugs given in the office
2023: 3062024: 22825%
Tests and treatments
2023: 1032024: 1085%
Surgery
2023: 682024: 691%
Lab and pathology
2023: 732024: 4736%

Where Dr. Spence's Medicare services took place, 2024

  • In an office1,82674%
  • In a facility64526%

Dr. Spence compared with the Florida median for family medicine physicians, 2024

  • Dr. Spence
  • Florida median
Medicare services
2,471vs 3936.3 times
Medicare patients
430vs 1722.5 times
Part D claims
15,650vs 97916.0 times

Medians across 7,484 family medicine physicians in Florida with Dmand AI profiles that report each measure.

Dr. Spence's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Spence

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. John A. Spence treated 430 Medicare patients in 2024, average age 76

CMS counts 430 Medicare patients who saw Dr. Spence in 2024. The largest group is 75 to 84, with 175 patients. 75% of them have high blood pressure, and 62% have high cholesterol. 26% are also on Medicaid. Their average risk score is 1.38, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Spence's median patient age at 75, with 54% women.

Medicare patients, 2024430
Average age76
Average risk score1.38
Also on Medicaid26%

Dr. Spence's Medicare patients by age, 2024

Dr. Spence's Medicare patients by sex, 2024

  • Women24056%
  • Men19044%

Chronic conditions among Dr. Spence's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol62%
  3. Arthritis45%
  4. Diabetes37%
  5. Mood disorders36%
  6. Depression33%
  7. Anxiety32%
  8. Ischemic heart disease32%

Share of Medicare patients with each condition. A patient can have several.

Dr. Spence's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women54%
  • Men45%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. John A. Spence wrote 16,563 Medicare Part D claims in 2024

In 2024, Dr. Spence wrote 16,563 Medicare Part D claims for 800 patients. 86% of them were for generic drugs. CMS names the drug for 15,650 of them, across 227 drugs with 11 or more claims each, at $1,508,900 in total drug cost. In 2023, CMS named 15,254 claims across 216 drugs.

Part D claims, 202416,563
Drugs named by CMS227
Total drug cost$1.5M
Part D patients800

Dr. Spence's Part D claims by kind of drug, 2024

  • Generic14,298 claims86%
  • Brand-name2,139 claims13%
  • Other126 claims1%

Dr. Spence's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Spence's Part D claims, 2024

  • Opioids8%1,323 of 16,563 claims
  • Antibiotics2%410 of 16,563 claims
  • Antipsychotics, patients 65 and over1%137 of 16,563 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 15,2542024: 15,6503%

Drugs named by CMS: 227 in 2024, 216 in 2023.

See all prescribing by Dr. Spence

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. John A. Spence scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Spence for performance year 2024, reported individually. Dr. Spence accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 11 procedures of removal of skin lesions by Dr. Spence, more than 58% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
MIPS final score, 2024
75 of 100

Where Dr. Spence ranks in Medicare procedure volume

Removal of skin lesions
58th percentile11 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)

Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)

Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. John A. Spence received $22,594 in industry payments from 2016 to 2025

CMS Open Payments shows 1,519 general payments to Dr. Spence from 65 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Novo Nordisk Inc paid the most, $2,341.

General payments to Dr. Spence by program year, 2016 to 2025

General payments to Dr. Spence by kind, 2016 to 2025

$22.6Kin total
  • Food and beverage$22,535100%
  • Education$590%

Companies that paid Dr. Spence the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Spence

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. John A. Spence has 1 award and honors on record

Dmand AI lists 1 award for Dr. Spence, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Spence

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. John A. Spence graduated from Universidad Iberoamericana (UNIBE)

Dr. Spence graduated from Universidad Iberoamericana (UNIBE) in 1998.

  1. Medical schoolUniversidad Iberoamericana (UNIBE)
  2. Board certified in family medicineAmerican Board of Family Medicine

Source: Dmand AI Professional Profile Data

Dr. John A. Spence accepts plans from 17 insurance carriers

Dr. Spence is in network with 17 carriers, including Elevance, Aetna and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

  • Elevance
  • Aetna
  • Excellus BlueCross BlueShield
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • +9 more carriersWith a free account

Plan types Dr. Spence accepts, by number of carriers

  1. PPO12
  2. Medicare10
  3. HMO8
  4. POS6
  5. EPO5
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. John A. Spence's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. John A. Spence

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. John A. Spence's NPI number?

Dr. John A. Spence's NPI number is 1497794796. It was assigned on June 5, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. John A. Spence?

Dr. John A. Spence is a family medicine physician in Marianna, Florida. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).

Where does Dr. John A. Spence practice?

Dr. Spence practices at 4250 Hospital Dr, Marianna, FL 32446. Dr. Spence's primary practice is Jackson Hospital in Marianna, Florida, part of Jackson County Hospital District. Dmand AI also links Dr. Spence to 2 hospitals, 4 home health agencies, 3 skilled nursing facilities, 2 group practices and clinics, 2 hospices, 1 rural health clinic and 1 medical group.

What is Dr. John A. Spence's office phone number?

The practice phone on file for Dr. Spence is (850) 526-2200.

What is Dr. John A. Spence's medical license number?

Dr. Spence holds Florida license 84174, one of the licenses on file in 2 states.

Which states has Dr. John A. Spence been licensed in?

Dmand AI has state licenses on file for Dr. Spence in Florida (2002 to 2026) and Kentucky (2020 to 2021).

Which hospitals is Dr. John A. Spence affiliated with?

Dr. Spence practices at Jackson Hospital in Marianna, Florida. Dr. Spence is also affiliated with HCA Florida Gulf Coast Hospital. Dmand AI links Dr. Spence to 2 more hospitals.

What medical group is Dr. John A. Spence part of?

Dr. Spence is linked to Jackson Hospital. Dmand AI links Dr. Spence to 1 more medical group.

Does Dr. John A. Spence accept Medicare?

Yes. CMS data shows Dr. Spence billed Medicare for 2,471 services in 2024, and Dr. Spence accepts Medicare assignment.

What is Dr. John A. Spence's MIPS score?

Dr. Spence's MIPS final score for performance year 2024 is 75 out of 100, reported individually.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. John A. Spence see?

CMS counts 430 Medicare patients who saw Dr. Spence in 2024, with an average age of 76.

Is Dr. John A. Spence board certified?

Yes. Dr. Spence is board certified in family medicine by the American Board of Family Medicine.

What services does Dr. John A. Spence bill to Medicare?

In 2024, Dr. Spence's most billed Medicare services were office visit, established patient (99214), injected or infused drug (J3301) and office visit, established patient (99213).

Where did Dr. John A. Spence go to medical school?

Dr. Spence graduated from Universidad Iberoamericana (UNIBE) in 1998.

What drugs does Dr. John A. Spence prescribe most?

In 2024 Medicare Part D data, Dr. Spence's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Atorvastatin Calcium and Gabapentin.

Has Dr. John A. Spence received payments from drug or device companies?

CMS Open Payments shows $22,594 in general payments to Dr. Spence from 65 companies from 2016 to 2025. The largest total came from Novo Nordisk Inc.

How long has Dr. John A. Spence been practicing?

Dr. Spence graduated from medical school in 1998, 28 years ago.

What insurance does Dr. John A. Spence accept?

Dr. Spence is in network with 17 carriers, including Elevance, Aetna and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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