Medicare Enrolled
Dr. Sean Spence, M.D.
Orthopaedic Hand Surgery Physician · Port Charlotte, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Spence 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. Spence?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Spence
Dr. Sean Spence is an orthopaedic hand surgery physician in Port Charlotte, FL, with 11 years of NPI registration. Based on federal Medicare data, Dr. Spence performed 5,256 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Spence received a total of $12,681 from 15 pharmaceutical and/or device companies across 71 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Spence is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 11 years of NPI registration
▲ Top 18% volume in FL
$12,681 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 | 148758 | Clear | January 31, 2027 | — |
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 — 2023
Medicare Utilization ↗5,256
Medicare services
Top 18% in FL for orthopaedic hand surgery physician
Not available
Unique patients (not deduplicated)
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
1,461 | $5 | $15 |
| 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. |
479 | $66 | $212 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
476 | $1 | $3 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
451 | $27 | $83 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
250 | $35 | $139 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
242 | $25 | $76 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
227 | $48 | $153 |
| 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. |
215 | $88 | $262 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
201 | $41 | $149 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
182 | $30 | $87 |
| 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. |
157 | $40 | $131 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
148 | $37 | $118 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
105 | $23 | $70 |
| 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. |
98 | $75 | $257 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
95 | $27 | $91 |
| 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. |
67 | $105 | $300 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
60 | $29 | $99 |
| Endoscopic release of wrist ligament A minimally invasive procedure using a small camera to cut and release ligaments in the wrist. |
55 | $378 | $1,230 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
40 | $174 | $731 |
| Injection of carpal tunnel | 35 | $73 | $216 |
| 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. |
32 | $99 | $298 |
| X-ray of upper arm, minimum of 2 views An X-ray imaging test of the upper arm that captures at least two different views to evaluate the bones and surrounding structures. |
27 | $24 | $70 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
24 | $36 | $113 |
| Surgical repair of broken thigh bone with implant A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone. |
20 | $959 | $3,012 |
| X-ray of thigh bone, minimum 2 views An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure. |
18 | $24 | $84 |
| Closed treatment of broken forearm bone at wrist without manipulation This procedure involves setting a broken forearm bone near the wrist without moving the bone fragments out of place. It is performed without manipulation to align the fracture. |
16 | $274 | $706 |
| Closed treatment of broken hand bone Non-surgical realignment and stabilization of a fractured bone in the hand. |
16 | $210 | $657 |
| Surgical repair of broken thigh bone with stabilization or replacement This procedure involves surgically treating the upper part of a fractured femur by inserting a device to stabilize the bone or replacing it with a prosthetic implant. |
13 | $967 | $2,799 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
12 | $1,180 | $3,551 |
| Wrist to finger joint removal Surgical removal of the bones forming the joints between the wrist and the fingers. |
12 | $619 | $1,821 |
| Tendon transfer to back of hand A surgical procedure where a tendon is moved to a new location on the back of the hand to restore function. |
11 | $343 | $1,558 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
11 | $20 | $61 |
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. These counts do not measure clinical quality or years of experience.
0.2% high complexity
53.2% medium
46.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,681
Total received (2018-2024)
Avg $1,812/year across 7 years
Top 22% in FL for orthopaedic hand surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
71
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$963
2023
$864
2022
$2,207
2021
$1,597
2020
$5,122
2019
$1,184
2018
$744
Payments by company (2024)
Smith+Nephew, Inc.
$542
Stryker Corporation
$232
DePuy Synthes Sales Inc.
$125
Bioventus LLC
$35
Coastal Medical Technologies Llc
$28
Top 3 companies account for 93.5% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$6,348
MVP Orthopedics Inc
$1,245
Mid-Atlantic Surgical Systems, LLC
$1,200
Stryker Corporation
$1,070
Medical Device Business Services, Inc.
$744
Smith+Nephew, Inc.
$542
Ethicon US, LLC
$394
Zimmer Biomet Holdings, Inc.
$389
DePuy Synthes Sales Inc.
$263
Endo Pharmaceuticals Inc.
$133
Bioventus LLC
$127
Boston Scientific Corporation
$105
TriMed, Inc.
$84
Coastal Medical Technologies Llc
$28
Dynasplint Systems Inc.
$8
Top 3 companies account for 69.3% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACIS · AEQUALIS ASCEND FLEX · AEQUALIS FLEX REVIVE · AEQUALIS PERFORM · AEQUALIS PERFORM REVERSED · AEQUALIS REVERSED II · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · Bioinductive Implant with Arthroscopic Delivery System - Medium · COMPREHENSIVE · Comprehensive · Dynasplint · ETHICON · Exogen Ultrasound Bone Healing System · GELSYN-3 · LENS 4K · N/A · NA · STRATAFIX · TORNIER FLEX · VA-LCP PLATES & SCREWS · VISTASEAL · WaveWriter Alpha Prime 16 · XIAFLEX
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Orthopaedic hand surgery physicians in nearby ZIP areas
3
County median income
$66,154
Nearest hospital to ZIP centroid (approximate)
Adventhealth Port Charlotte
3.4 mi
3.4 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Spence is a clinical cardiology specialist, with above-average Medicare volume (top 18% in FL).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Spence experienced with betamethasone steroid injection?
Based on Medicare claims data, Dr. Spence performed 1,461 betamethasone steroid injection services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Spence receive payments from pharmaceutical companies?
Yes. Dr. Spence received a total of $12,681 from 15 companies across 71 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Spence's costs compare to other orthopaedic hand surgery physicians in Port Charlotte?
Dr. Spence's average Medicare payment per service is $46. 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. Spence) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Same specialty & city
Orthopaedic Hand Surgery Physicians in Port Charlotte
Browse orthopaedic hand surgery physicians in Port Charlotte ranked by procedure volume and transparency data.
Highest volume
Top Orthopaedic Hand Surgery Physicians in FL
Orthopaedic hand surgery physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Orthopaedic Hand Surgery Physicians in FL
Which FL orthopaedic hand surgery physicians receive the most from drug and device companies.
By company
Arthrex, Inc. Payments to Doctors
See all physicians who received payments from Arthrex, Inc.
By company
MVP Orthopedics Inc Payments to Doctors
See all physicians who received payments from MVP Orthopedics Inc.
By company
Mid-Atlantic Surgical Systems, LLC Payments to Doctors
See all physicians who received payments from Mid-Atlantic Surgical Systems, LLC.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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