Surgeon profile

Nathan Spence, M.D.

Interventional Cardiology · Spokane, WA 99204NPI 1821231986

Database refreshed July 2026Live NPPES registry· Industry payments CY2025ⓘ sources

Contactverified live in NPPES · Jul 7, 2026

Active NPI122 W 7TH AVE STE 310, SPOKANE, WA 99204☎ 509-847-2500

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Operates atCMS affiliations, refreshed monthly

DEACONESS MEDICAL CENTER · SPOKANE, WAMULTICARE VALLEY HOSPITAL · SPOKANE VALLEY, WAPROVIDENCE HOLY FAMILY HOSPITAL · SPOKANE, WAPROVIDENCE MOUNT CARMEL HOSPITAL · COLVILLE, WA

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Tracked procedure volumes

Latest federal claims release with year-over-year momentum. Orthopedics & cardiology tracked — more specialties coming.

97 Medicare cases/yr

91 patients

2 procedures

Procedure	Cases	Trend	Patients
Diagnostic Cardiac Cath (Left Heart) CPT 93458	65	▼ -32%	64
Coronary Stent Placement CPT 92928	32	▼ -18%	27

Industry relationships

CMS Open Payments, CY2025 general payments (published June 2026) — who already pays this surgeon.

$21 total received, 2025

1 payments

1 manufacturer relationship on file

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Relationship trajectory, 2019–2025

7-year payment trajectory (who's warming up, who's cooling off on this surgeon) is a paid feature. Unlock

Pulling CY2025 industry payments + 7-year history…