Doctor profile · Federal record

Dr. Robert Spence, M.D.

Emergency Medicine Physician (CMS: Emergency Medicine) · Palmer, MA

  • NPI 1174539191
  • Accepts Medicare
  • 30 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
40 Wright Street, Wing Emergency Services
Palmer, MA 010691138
(413) 284-5308
fax (413) 284-5413
Mailing address
60 Hospital RD, Attn Chris Reilly
Leominster, MA 014532205

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
October 1, 2010
Year of graduation
1996 — 30 yrs since
Specialty taxonomy
207P00000X — NUCC code
State license (1)
Massachusetts #220254

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174539191. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
764
Distinct HCPCS
6
Medicare allowed
$108,582
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 309 296 $121
99285 Emergency department visit with high level of medical decision making 285 275 $176
99283 Emergency department visit with low level of medical decision making 76 75 $72
99291 Critical care, first 30-74 minutes 70 66 $214
76775 Limited ultrasound scan behind abdominal cavity 12 12 $28
93308 Ultrasound of heart, follow-up 12 12 $25

In context: peer comparison

Among 4 peers in this city , average services per provider: 138. This provider delivers 5.5× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
286
Patients
282
Total drug cost
$1,929
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 59 58 $308
Ondansetron Odt (Ondansetron) Brand 54 53 $516
Prednisone Generic 46 46 $164
Cephalexin Generic 30 30 $208
Doxycycline Monohydrate Generic 28 27 $281
Naproxen Generic 22 22 $92
Ibuprofen Generic 19 18 $102
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 16 16 $212
Meclizine Hcl Generic 12 12 $46

Frequently asked questions

Auto-generated from federal data
What is Dr. Robert Spence's medical specialty?
Dr. Robert Spence practices Emergency Medicine Physician in Palmer, MA.
Where does Dr. Robert Spence practice?
Dr. Robert Spence practices at 40 Wright Street, Palmer, MA 010691138. Office phone: 4132845308.
What is Dr. Robert Spence's NPI?
Dr. Robert Spence's National Provider Identifier (NPI) is 1174539191, issued by NPPES.
Does Dr. Robert Spence accept Medicare assignment?
Yes. Dr. Robert Spence accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Spence commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.