Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nathan Emil Spence, MD

Individual provider Cardiovascular Disease Physician · NPI 1821231986

Nathan Emil Spence, MD practises Interventional Cardiology in Spokane, Washington. Qualified in 2009, 17 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
17
Licensed in
ID, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

122 W 7th Ave Ste 310
Spokane, WA 99204-2352
Phone: (509) 847-2500
Fax: (509) 847-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD.60642429 (WA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD60642429 (ID)

Record details

NPI number1821231986
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2009
Last updated in NPPESNovember 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Coronary angioplasty and stenting 34 times · 69th percentile
Pacemaker insertion or repair 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,372
Services billed 3,426 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $21 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Deaconess Medical Center Hospital · Spokane, WA
  • Multicare Valley Hospital Hospital · Spokane Valley, WA
  • Providence Holy Family Hospital Hospital · Spokane, WA
  • Whitman Hospital And Medical Center Hospital · Colfax, WA

Colleagues at Multicare Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2302 clinicians in the practice; 12 are shown here.

Other providers in Spokane