Dr. Christopher R. Spence, MD

  • Roseburg, OR
  • General surgeon
NPI1649252008PAC ID2860447869
Medicare services, 2024
155
Medicare patients, 2024
172
Part D claims, 2024
91
MIPS score, 2024
83
Hospital affiliations
2
Practice address
570 Chautauqua Blvd, Valley City, ND 58072
Practice phone
Call (701) 845-6400
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

CHI Mercy Health

Hospital · Valley City, North Dakota

See all 4 affiliations

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Dr. Christopher R. Spence is a general surgeon in Roseburg, Oregon

Dr. Spence practices at CHI Mercy Health in Valley City, North Dakota, part of CommonSpirit Health.

Dr. Spence's NPI, 1649252008, was assigned on November 18, 2005. Dr. Spence graduated from Jefferson Medical College of Thomas Jefferson University in 1996. Dr. Spence holds Oregon license MD25756.

NPI and contact details
Medicare PAC ID
2860447869
NPI enumeration date
November 18, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(701) 845-6400
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
56
Medical school graduation
1996

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

Dr. Christopher R. Spence practices in Valley City and Roseburg

Dr. Spence's primary practice is CHI Mercy Health, at 570 Chautauqua Blvd, Valley City, ND 58072 in Barnes County. The practice phone is (701) 845-6400. Dr. Spence also practices at CHI Mercy Health, 2700 NW Stewart Pkwy, Roseburg, OR 97471.

  • CHI Mercy HealthPrimary
    570 Chautauqua Blvd, Valley City, ND 58072 · Barnes CountyPhone(701) 845-6400
  • CHI Mercy Health
    2700 NW Stewart Pkwy, Roseburg, OR 97471 · Douglas CountyPhone(541) 677-4845

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Dr. Christopher R. Spence is affiliated with 3 sites of care and 1 medical group

Dr. Spence's primary practice is CHI Mercy Health in Valley City, North Dakota, part of CommonSpirit Health. Dr. Spence is also affiliated with CHI Mercy Health. The medical group on file is Centennial Medical Group. Dmand AI also links Dr. Spence to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Dr. Spence

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

Dmand AI tracks the EHR system at Dr. Christopher R. Spence's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Spence practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
CHI Mercy HealthAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Christopher R. Spence is one of 438 general surgeons in Oregon

Surgery is Dr. Spence's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Spence is licensed in Oregon.

Specialties and state licenses

  • Surgery, OregonPrimaryLicense MD25756 · taxonomy 208600000X

General surgeons near Dr. Spence

Counts of general surgeons 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. Christopher R. Spence billed Medicare for 155 services in 2024

CMS data shows 155 Medicare services from Dr. Spence across 6 procedure codes in 2024, for 172 Medicare patients. Medicare paid $16,614 for them.

Medicare services, 2024155
Medicare patients172
Paid by Medicare$16,614
Procedure codes6

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

  • 2023
  • 2024
Office and hospital visits
2023: 1532024: 1399%
Surgery
2023: 392024: 1659%
Other services
2023: 132024: 0100%

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

  • In an office10870%
  • In a facility4730%

Dr. Spence compared with the Oregon median for general surgeons, 2024

  • Dr. Spence
  • Oregon median
Medicare services
155vs 8387% above
Medicare patients
172vs 822.1 times
Part D claims
74vs 4757% above

Medians across 433 general surgeons in Oregon 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. Christopher R. Spence treated 172 Medicare patients in 2024, average age 74

CMS counts 172 Medicare patients who saw Dr. Spence in 2024. The largest group is 65 to 74, with 80 patients. 75% of them have high blood pressure, and 71% have high cholesterol. 15% are also on Medicaid. Their average risk score is 1.29, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Spence's median patient age at 64, with 57% women.

Medicare patients, 2024172
Average age74
Average risk score1.29
Also on Medicaid15%

Dr. Spence's Medicare patients by age, 2024

Dr. Spence's Medicare patients by sex, 2024

  • Women10863%
  • Men6437%

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

  1. High blood pressure75%
  2. High cholesterol71%
  3. Arthritis41%
  4. Cancer34%
  5. Diabetes29%
  6. Chronic kidney disease28%
  7. Mood disorders27%
  8. COPD26%

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 64

Patient panel by sex, all payers

  • Women57%
  • Men43%

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

Dr. Christopher R. Spence wrote 91 Medicare Part D claims in 2024

In 2024, Dr. Spence wrote 91 Medicare Part D claims for 84 patients. 82% of them were for generic drugs. CMS names the drug for 74 of them, across 2 drugs with 11 or more claims each, at $2,173 in total drug cost. In 2023, CMS named 86 claims across 2 drugs.

Part D claims, 202491
Drugs named by CMS2
Total drug cost$2,173
Part D patients84

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

  • Generic75 claims82%
  • Brand-name16 claims18%

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

  • Opioids75%68 of 91 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: 862024: 7414%

Drugs named by CMS: 2 in 2024, 2 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. Christopher R. Spence scored 83 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 83 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. CMS counts 16 procedures of hernia repair - groin (open) by Dr. Spence, more than 94% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Spence's MIPS scores, performance year 2024

  • 83of 100Final score
  • 67of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Spence ranks in Medicare procedure volume

Colonoscopy
50th percentile24 procedures
Mastectomy
79th percentile21 procedures
Hernia repair - groin (open)
94th percentile16 procedures

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

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

Upper gastrointestinal (GI) endoscopy for acid reflux: 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. Christopher R. Spence received $156 in industry payments from 2016 to 2022

CMS Open Payments shows 9 general payments to Dr. Spence from 5 drug and device companies from 2016 to 2022. Food and beverage make up the largest share, 64% of the total. Sebela Pharmaceuticals Inc. paid the most, $56.

General payments to Dr. Spence by program year, 2016 to 2022

General payments to Dr. Spence by kind, 2016 to 2022

$156in total
  • Food and beverage$10064%
  • Gifts$5636%

Companies that paid Dr. Spence the most, 2016 to 2022

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. Christopher R. Spence graduated from Jefferson Medical College of Thomas Jefferson University

Dr. Spence graduated from Jefferson Medical College of Thomas Jefferson University in 1996.

  1. Medical schoolJefferson Medical College of Thomas Jefferson University

Source: Dmand AI Professional Profile Data

Sources for Dr. Christopher R. 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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice 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)
Training, board certification and membershipsDmand AI Professional Profile 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. Christopher R. 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. Christopher R. Spence's NPI number?

Dr. Christopher R. Spence's NPI number is 1649252008. It was assigned on November 18, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Christopher R. Spence?

Dr. Christopher R. Spence is a general surgeon in Roseburg, Oregon. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. Christopher R. Spence practice?

Dr. Spence practices at 570 Chautauqua Blvd, Valley City, ND 58072. Dr. Spence also practices at 2700 NW Stewart Pkwy, Roseburg, OR 97471. Dr. Spence's primary practice is CHI Mercy Health in Valley City, North Dakota, part of CommonSpirit Health. Dmand AI also links Dr. Spence to 1 group practice or clinic.

What is Dr. Christopher R. Spence's office phone number?

The practice phone on file for Dr. Spence is (701) 845-6400.

What is Dr. Christopher R. Spence's medical license number?

Dr. Spence holds Oregon license MD25756.

Which hospitals is Dr. Christopher R. Spence affiliated with?

Dr. Spence practices at CHI Mercy Health in Valley City, North Dakota. Dr. Spence is also affiliated with CHI Mercy Health.

What medical group is Dr. Christopher R. Spence part of?

Dr. Spence is linked to Centennial Medical Group.

Does Dr. Christopher R. Spence accept Medicare?

Yes. CMS data shows Dr. Spence billed Medicare for 155 services in 2024, and Dr. Spence accepts Medicare assignment.

What is Dr. Christopher R. Spence's MIPS score?

Dr. Spence's MIPS final score for performance year 2024 is 83 out of 100, reported as part of a group.

How many Medicare patients does Dr. Christopher R. Spence see?

CMS counts 172 Medicare patients who saw Dr. Spence in 2024, with an average age of 74.

Show 5 more questionsShow fewer questions

What services does Dr. Christopher R. Spence bill to Medicare?

In 2024, Dr. Spence's most billed Medicare services were office visit, new patient (99204), office visit, established patient (99214) and hospital inpatient care (99222).

Where did Dr. Christopher R. Spence go to medical school?

Dr. Spence graduated from Jefferson Medical College of Thomas Jefferson University in 1996.

What drugs does Dr. Christopher R. Spence prescribe most?

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

Has Dr. Christopher R. Spence received payments from drug or device companies?

CMS Open Payments shows $156 in general payments to Dr. Spence from 5 companies from 2016 to 2022. The largest total came from Sebela Pharmaceuticals Inc.

How long has Dr. Christopher R. Spence been practicing?

Dr. Spence graduated from medical school in 1996, 30 years ago.

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