Medicare Enrolled
Dr. Kevin Spires, MD
Urology Physician · Hudson, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Spires 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 →
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What this data tells you about Dr. Spires
Dr. Kevin Spires is an urology physician in Hudson, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Spires performed 3,502 Medicare services across 2,564 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spires received a total of $5,558 from 30 pharmaceutical and/or device companies across 134 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Spires 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.
✓ 19 years in practice
▲ Top 31% volume in FL
$5,558 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 84672 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗3,502
Medicare services
Top 31% in FL for urology physician
2,564
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~184 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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
816 | $2 | $11 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
688 | $66 | $266 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
488 | $8 | $31 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
371 | $93 | $374 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
112 | $183 | $696 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
101 | $122 | $494 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
98 | $62 | $213 |
| Biofeedback training for bowel or bladder control, initial 15 minutes A 15-minute session using biofeedback techniques to help patients gain control over bowel or bladder functions. The training involves monitoring physiological processes to learn how to manage muscle activity. |
65 | $62 | $243 |
| Biofeedback training for bowel or bladder control, each additional 15 minutes This procedure involves additional 15-minute sessions of biofeedback training to help improve control over bowel or bladder functions. |
65 | $25 | $96 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
63 | $57 | $226 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 60 | $130 | $564 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
56 | $1 | $2 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
55 | $8 | $25 |
| Injection, tobramycin sulfate, up to 80 mg | 55 | $2 | $8 |
| PSA test (prostate cancer screening) | 54 | $18 | $68 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
50 | $101 | $402 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
48 | $78 | $334 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
38 | $131 | $522 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
37 | $17 | $67 |
| Rectal sensitivity and function study A test to evaluate the sensitivity and functional performance of the rectum. |
31 | $204 | $849 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
22 | $24 | $98 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
21 | $40 | $215 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
20 | $41 | $168 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
18 | $48 | $184 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
17 | $140 | $535 |
| Complicated insertion of bladder tube | 16 | $117 | $445 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
13 | $103 | $720 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
13 | $23 | $583 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
11 | $328 | $1,216 |
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.
1.9% high complexity
16.9% medium
81.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,558
Total received (2018-2024)
Avg $794/year across 7 years
Top 37% in FL for urology physician
30
Companies
134
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
$5,458 (98.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (1.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,055
2023
$2,763
2022
$871
2021
$468
2020
$212
2019
$102
2018
$88
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Axonics, Inc.
$3,196
Coloplast Corp
$412
COLOPLAST CORP
$350
Bayer Healthcare Pharmaceuticals Inc.
$230
Teleflex LLC
$182
Medtronic USA, Inc.
$163
Astellas Pharma US Inc
$137
Endo Pharmaceuticals Inc.
$119
KARL STORZ Endoscopy-America
$88
Medtronic, Inc.
$54
Photocure Inc
$48
PROCEPT BioRobotics Corporation
$48
TOLMAR Pharmaceuticals, Inc.
$46
UROVANT SCIENCES INC
$45
Janssen Biotech, Inc.
$45
Rochester Medical Corporation
$45
Axonics Modulation Technologies, Inc.
$38
Merck Sharp & Dohme LLC
$35
VERTEX PHARMACEUTICALS INCORPORATED
$35
Myovant Sciences Inc.
$32
Bayer HealthCare Pharmaceuticals Inc.
$29
Olympus America Inc.
$27
C. R. BARD, INC. & SUBSIDIARIES
$26
Laborie Medical Technologies Corp.
$24
Sumitomo Pharma America, Inc.
$23
180 Medical, Inc.
$20
Tolmar, Inc.
$20
UROGEN PHARMA, INC.
$14
Allergan Inc.
$14
Avadel Specialty Pharmaceuticals, LLC
$14
Top 3 companies account for 71.2% of total payments
Associated products mentioned in payments ›
AQUABEAM SYSTEM · AVEED · Axonics · Axonics r-SNM System · BOTOX · Bulkamid · CYSVIEW · ELIGARD · ERLEADA · Erleada · FEMALE INCONTINENCE · GEMTESA · INTERSTIM · INTERSTIM ICON · JELMYTO · KEYTRUDA · MAGIC3 · Noctiva · Nubeqa · ORGOVYX · Titan · UROLIFT · XIAFLEX · XTANDI · iTIND System
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $159 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
28
Per 100K population
4.8
County median income
$67,384
Nearest hospital
HCA FLORIDA BAYONET POINT HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/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. Spires is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 years of NPI registration.
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. Spires experienced with automated urinalysis?
Based on Medicare claims data, Dr. Spires performed 816 automated urinalysis 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. Spires receive payments from pharmaceutical companies?
Yes. Dr. Spires received a total of $5,558 from 30 companies across 134 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. Spires's costs compare to other urology physicians in Hudson?
Dr. Spires's average Medicare payment per service is $50. 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. Spires) 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 →
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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.
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