Dr. Thomas H. Spence, MD
- Medicare services, 2024
- 982
- Medicare patients, 2024
- 392
- Part D claims, 2024
- 2,966
- MIPS score, 2024
- 79
- Hospital affiliations
- 5
- Practice address
- 3015 N Ballas Rd, Saint Louis, MO 63131
- Practice phone
- Call (314) 996-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Spence's professional email, personal email and mobile number
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Dr. Thomas H. Spence is a pulmonologist in Saint Louis, Missouri
Dr. Spence practices at Missouri Baptist Medical Center in Saint Louis, Missouri, part of BJC Health.
Dr. Spence's NPI, 1447221379, was assigned on January 30, 2006. Dr. Spence graduated from Saint Louis University School of Medicine in 1979. Dr. Spence holds Missouri license R5H59.
- NPI
- 1447221379NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7517978901
- NPI enumeration date
- January 30, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (314) 996-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 73
- Medical school graduation
- 1979
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Thomas H. Spence practices at Missouri Baptist Medical Center in Saint Louis, Missouri
Dr. Spence's primary practice is Missouri Baptist Medical Center, at 3015 N Ballas Rd, Saint Louis, MO 63131 in St. Louis County. The practice phone is (314) 996-5000.
- Missouri Baptist Medical Center3015 N Ballas Rd, Saint Louis, MO 63131 · St. Louis CountyPhone(314) 996-5000
Source: Dmand AI Affiliation Data
Dr. Thomas H. Spence is affiliated with 6 sites of care and 2 medical groups
Dr. Spence's primary practice is Missouri Baptist Medical Center in Saint Louis, Missouri, part of BJC Health. Dr. Spence is also affiliated with Barnes-Jewish West County Hospital. The medical group on file is Missouri Baptist Medical Center. Dmand AI also links Dr. Spence to 3 more hospitals, 1 group practice or clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Thomas H. Spence's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Spence practices, 6 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Missouri Baptist Medical Center | Available with a free account |
| +5 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Thomas H. Spence is one of 279 pulmonologists in Missouri
Pulmonary disease is Dr. Spence's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Spence is licensed in Missouri.
Specialties and state licenses
- Pulmonary disease, MissouriPrimary
Pulmonologists near Dr. Spence
Counts of pulmonologists 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. Thomas H. Spence billed Medicare for 982 services in 2024
CMS data shows 982 Medicare services from Dr. Spence across 12 procedure codes in 2024, for 392 Medicare patients. Medicare paid $57,000 for them.
Dr. Spence's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 9642024: 60937%
- Tests and treatments
- 2023: 4412024: 37315%
Where Dr. Spence's Medicare services took place, 2024
- In an office46748%
- In a facility51552%
Dr. Spence compared with the Missouri median for pulmonologists, 2024
- Dr. Spence
- Missouri median
- Medicare services
- 982vs 72835% above
- Medicare patients
- 392vs 33118% above
- Part D claims
- 2,739vs 7303.8 times
Medians across 283 pulmonologists in Missouri 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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Spence and other pulmonologists in Missouri.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Thomas H. Spence treated 392 Medicare patients in 2024, average age 74
CMS counts 392 Medicare patients who saw Dr. Spence in 2024. The largest group is 65 to 74, with 169 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 4% are also on Medicaid. Their average risk score is 1.39, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Spence's median patient age at 69, with 53% women.
Dr. Spence's Medicare patients by age, 2024
Dr. Spence's Medicare patients by sex, 2024
- Women22958%
- Men16342%
Chronic conditions among Dr. Spence's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis58%
- COPD36%
- Ischemic heart disease33%
- Mood disorders32%
- Depression29%
- Atrial fibrillation28%
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 69
Patient panel by sex, all payers
- Women53%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Thomas H. Spence wrote 2,966 Medicare Part D claims in 2024
In 2024, Dr. Spence wrote 2,966 Medicare Part D claims for 421 patients. 45% of them were for generic drugs. CMS names the drug for 2,739 of them, across 34 drugs with 11 or more claims each, at $1,126,195 in total drug cost. In 2023, CMS named 2,627 claims across 38 drugs.
Dr. Spence's Part D claims by kind of drug, 2024
- Generic1,342 claims45%
- Brand-name1,624 claims55%
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
- Antibiotics6%191 of 2,966 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: 2,6272024: 2,7394%
Drugs named by CMS: 34 in 2024, 38 in 2023.
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. Thomas H. Spence scored 79 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 79 out of 100 for Dr. Spence for performance year 2024, reported as part of a group. Dr. Spence accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Spence's MIPS scores, performance year 2024
- 79of 100Final score
- 72.1of 100Quality
- 100of 100Promoting Interoperability
- 20of 100Improvement Activities
- 74of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Thomas H. Spence received $21,599 in industry payments from 2016 to 2025
CMS Open Payments shows 1,253 general payments to Dr. Spence from 58 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. GlaxoSmithKline, LLC. paid the most, $4,146.
General payments to Dr. Spence by program year, 2016 to 2025
General payments to Dr. Spence by kind, 2016 to 2025
- Food and beverage$21,543100%
- Education$380%
- Consulting fees$180%
Companies that paid Dr. Spence the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Thomas H. Spence graduated from Saint Louis University School of Medicine
Dr. Spence graduated from Saint Louis University School of Medicine in 1979.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Thomas H. Spence's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Thomas H. 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. Thomas H. Spence's NPI number?
Dr. Thomas H. Spence's NPI number is 1447221379. It was assigned on January 30, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Thomas H. Spence?
Dr. Thomas H. Spence is a pulmonologist in Saint Louis, Missouri. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. Thomas H. Spence practice?
Dr. Spence practices at 3015 N Ballas Rd, Saint Louis, MO 63131. Dr. Spence's primary practice is Missouri Baptist Medical Center in Saint Louis, Missouri, part of BJC Health. Dmand AI also links Dr. Spence to 3 hospitals, 1 group practice or clinic and 1 medical group.
What is Dr. Thomas H. Spence's office phone number?
The practice phone on file for Dr. Spence is (314) 996-5000.
What is Dr. Thomas H. Spence's medical license number?
Dr. Spence holds Missouri license R5H59.
Which hospitals is Dr. Thomas H. Spence affiliated with?
Dr. Spence practices at Missouri Baptist Medical Center in Saint Louis, Missouri. Dr. Spence is also affiliated with Barnes-Jewish West County Hospital. Dmand AI links Dr. Spence to 3 more hospitals.
What medical group is Dr. Thomas H. Spence part of?
Dr. Spence is linked to Missouri Baptist Medical Center. Dmand AI links Dr. Spence to 1 more medical group.
Does Dr. Thomas H. Spence accept Medicare?
Yes. CMS data shows Dr. Spence billed Medicare for 982 services in 2024, and Dr. Spence accepts Medicare assignment.
What is Dr. Thomas H. Spence's MIPS score?
Dr. Spence's MIPS final score for performance year 2024 is 79 out of 100, reported as part of a group.
How many Medicare patients does Dr. Thomas H. Spence see?
CMS counts 392 Medicare patients who saw Dr. Spence in 2024, with an average age of 74.
Show 5 more questionsShow fewer questions
What services does Dr. Thomas H. Spence bill to Medicare?
In 2024, Dr. Spence's most billed Medicare services were office visit, established patient (99214), lung function service (94060) and lung function service (94726).
Where did Dr. Thomas H. Spence go to medical school?
Dr. Spence graduated from Saint Louis University School of Medicine in 1979.
What drugs does Dr. Thomas H. Spence prescribe most?
In 2024 Medicare Part D data, Dr. Spence's most prescribed drugs by claims were Trelegy Ellipta, Albuterol Sulfate Hfa and Montelukast Sodium.
Has Dr. Thomas H. Spence received payments from drug or device companies?
CMS Open Payments shows $21,599 in general payments to Dr. Spence from 58 companies from 2016 to 2025. The largest total came from GlaxoSmithKline, LLC.
How long has Dr. Thomas H. Spence been practicing?
Dr. Spence graduated from medical school in 1979, 47 years ago.
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