EDWIN SPENCER, M.D.
Orthopaedic Surgery Physician · KNOXVILLE, TN
Individual Active NPI 1578530275
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 367 | 1,046 | $916,854 | $230,567 | $179,159 |
| 2023 | 406 | 1,431 | $1,113,707 | $269,323 | $212,072 |
| 2022 | 475 | 2,208 | $1,074,351 | $314,987 | $248,626 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 362 | $117 | $86 |
| 73030 | X-ray of shoulder, minimum of 2 views | 177 | $31 | $23 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 153 | $83 | $62 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 61 | $952 | $749 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 54 | $151 | $120 |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 40 | $215 | $168 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 39 | $1,269 | $1,008 |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 34 | $394 | $315 |
| 23430 | Anchoring of biceps tendon | 34 | $339 | $271 |
| 73221 | Mri scan of arm joint without contrast | 17 | $130 | $98 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | MD36487 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.