Dr. David Spencer, DO
1605 S Baltimore St Ste B, Kirksville, MO 63501 • +1-315-555-5329
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Kirksville Percentiles
NPI #1154820157 • CBSA Regional • Internal Medicine
Within the Kirksville, MO (CBSA local) Internal Medicine cohort, Dr. David Spencer, DO with sub-specialty concentration in 88 Active CMS HCPCS Codes ranks at the 62.5th municipal percentile and 81.95th MO percentile (-0.02σ Z-score) based on 2,737 billed procedures for 166 patients.
Procedural volume for Dr. Spencer is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1232 annual services, $54–$74 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 712/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 356/yr).
Direct cash-pay transparency modeling sets Dr. Spencer's baseline new-consult rate near $209.00 in Kirksville, MO (cash-pay accepted, hybrid in-clinic and telehealth video consults, 11-minute average reception wait).
Spanning 33 years of clinical practice following 1993 graduation from medical training, Dr. David Spencer integrates 88 Active CMS HCPCS Codes diagnostics for Kirksville metro patients.
Compared against Kirksville, MO Internal Medicine peers
2,737 annual services across 166 beneficiaries
Standard deviations from MO Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,232 | 62.5th | $54 – $74 |
| 99213 | Established Preventive & Chronic Care Visit | 712 | 60.5th | $42 – $57 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 356 | 60.5th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 274 | 61.5th | $64 – $87 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 164 | 65.5th | $75 – $103 |
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Dr. David Spencer, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spencer National Provider Identifier | NPI #1154820157 (DO) | CMS NPPES Registry (63501) |
| Dr. Spencer Kirksville CMS Volume Rank | 62.50th Pct (2,737 CMS svcs; Z -0.021σ) | CMS Medicare Part B (MO Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kirksville, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.59/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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