Medicare Enrolled

Dr. Spencer Knox, M.D.

Gastroenterology · Fleming Island, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1747 BAPTIST CLAY DR STE 300, Fleming Island, FL 32003
9042148080
In practice since 2015 (11 years)
NPI: 1205220688 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Knox from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Knox? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Knox

Dr. Spencer Knox is a gastroenterology in Fleming Island, FL, with 11 years in practice. Based on federal Medicare data, Dr. Knox performed 939 Medicare services across 769 unique beneficiaries.

Between the years covered by Open Payments, Dr. Knox received a total of $4,306 from 32 pharmaceutical and/or device companies across 225 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Knox is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 11 years in practice▲ Top 37% volume in FL$ $4,306 industry payments

Medicare Practice Summary

Medicare Utilization ↗
939
Medicare services
Top 37% in FL for gastroenterology
769
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~85 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)210$90$275
Hospital follow-up visit, moderate complexity190$63$200
New patient office visit (45-59 min)106$121$400
Initial hospital admission, moderate complexity95$103$300
Upper GI endoscopy with biopsy78$71$650
Colonoscopy with biopsy76$119$850
Removal of polyps or growths of large bowel using an endoscope with mechanical snare36$205$1,214
New patient office visit (30-44 min)36$74$300
Office visit, established patient, complex (40-54 min)26$129$350
Hospital follow-up visit, high complexity21$96$250
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$79$540
Initial hospital admission, high complexity13$140$400
Colorectal cancer screening; colonoscopy on individual at high risk13$187$800
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk13$188$800
Diagnostic exam of large bowel using a flexible endoscope11$126$791
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$4,306
Total received (2018-2024)
Avg $861/year across 5 years
Top 38% in FL for gastroenterology
32
Companies
225
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,306 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,636
2023
$1,275
2022
$1,130
2021
$128
2018
$136

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,439
Janssen Biotech, Inc.
$404
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$404
Takeda Pharmaceuticals U.S.A., Inc.
$349
Celgene Corporation
$163
Lilly USA, LLC
$149
Gilead Sciences, Inc.
$148
PFIZER INC.
$136
AIMMUNE THERAPEUTICS, INC.
$112
Merck Sharp & Dohme LLC
$106
Astellas Pharma US Inc
$100
GENZYME CORPORATION
$90
Regeneron Healthcare Solutions, Inc.
$81
Olympus America Inc.
$71
Intercept Pharmaceuticals, Inc.
$66
Evoke Pharma, Inc.
$64
Ardelyx, Inc.
$51
Ironwood Pharmaceuticals, Inc
$47
Madrigal Pharmaceuticals
$45
IRONWOOD PHARMACEUTICALS, INC
$41
Braintree Laboratories, Inc.
$38
Daiichi Sankyo Inc.
$25
ALBIREO PHARMA, INC.
$24
Boston Scientific Corporation
$21
Ipsen Biopharmaceuticals, Inc
$20
RedHill Biopharma Inc.
$19
Merck Sharp & Dohme Corporation
$17
Alnylam Pharmaceuticals Inc.
$17
INTERCEPT PHARMACEUTICALS, INC.
$16
VIVUS LLC
$15
Medtronic, Inc.
$15
Ferring Pharmaceuticals Inc.
$14
Top 3 companies account for 52.2% of total payments
Associated products mentioned in payments ›
Bylvay · CREON · DIFICID · DUPIXENT · ENTYVIO · EVIS EXERA · EXALT Model D · EndoFlip · GATTEX · GIMOTI · GIVLAARI · HUMIRA · IBSRELA · INJECTAFER · IQIRVO · LINZESS · Linzess · MAVYRET · MYRBETRIQ · OCALIVA · OMVOH · QSYMIA · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUFLAVE · TREMFYA · TRULANCE · Talicia · VIBERZI · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $459 per 100 Medicare services performed
Looking for a gastroenterology in Fleming Island?
Compare gastroenterologys in the Fleming Island area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologys nearby

Geographic Context

Gastroenterologys within 10 mi
136
Per 100K population
60.9
County median income
$86,094
Nearest hospital
HCA FLORIDA ORANGE PARK HOSPITAL
5.3 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Knox is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Knox experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Knox performed 210 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Knox receive payments from pharmaceutical companies?
Yes. Dr. Knox received a total of $4,306 from 32 companies across 225 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Knox's costs compare to other gastroenterologys in Fleming Island?
Dr. Knox's average Medicare payment per service is $99. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Knox) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →