Medicare Enrolled
Dr. Todd Spencer, M.D.
Vascular Surgery Physician · Dallas, TX
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. Spencer 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. Spencer
Dr. Todd Spencer is a vascular surgery physician in Dallas, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Spencer performed 2,323 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Spencer received a total of $6,576 from 48 pharmaceutical and/or device companies across 250 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. Spencer 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.
✓ 20 years of NPI registration
▲ Top 6% volume in TX
$6,576 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,323
Medicare services
Top 6% in TX for vascular surgery physician
Not available
Unique patients (not deduplicated)
$194
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 |
|---|---|---|---|
| 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. |
548 | $67 | $180 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
431 | $95 | $464 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
299 | $179 | $768 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
295 | $878 | $4,697 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
225 | $112 | $492 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
151 | $25 | $112 |
| 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. |
130 | $82 | $268 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
80 | $134 | $628 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
69 | $69 | $380 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
30 | $83 | $440 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
24 | $68 | $4,307 |
| Additional blood vessel ultrasound evaluation An ultrasound exam of a blood vessel that includes a radiologist's review. This code applies to each additional vessel evaluated beyond the initial one. |
23 | $54 | $722 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
18 | $56 | $11,447 |
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.
3.4% high complexity
53.9% medium
42.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,576
Total received (2018-2024)
Avg $939/year across 7 years
Top 46% in TX for vascular surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
250
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
$1,141
2023
$797
2022
$648
2021
$874
2020
$646
2019
$1,129
2018
$1,342
Payments by company (2024)
Silk Road Medical, Inc.
$549
Endologix LLC
$172
Boston Scientific Corporation
$107
Ossur Americas, Inc.
$82
CVRx, Inc.
$62
W. L. Gore & Associates, Inc.
$50
AstraZeneca Pharmaceuticals LP
$46
Reflow Medical Inc
$33
ShockWave Medical, Inc
$22
Contego Medical, Inc
$18
Top 3 companies account for 72.6% of 2024 payments
All-time payments by company (2018-2024) ›
W. L. Gore & Associates, Inc.
$1,928
Cardiovascular Systems Inc.
$870
Silk Road Medical, Inc.
$783
Boston Scientific Corporation
$424
Cook Medical LLC
$269
Janssen Pharmaceuticals, Inc
$179
CVRx, Inc.
$175
Endologix LLC
$172
BOSTON SCIENTIFIC CORPORATION
$152
Cook Incorporated
$118
AstraZeneca Pharmaceuticals LP
$108
Smith+Nephew, Inc.
$96
Tactile Systems Technology Inc
$86
Ossur Americas, Inc.
$82
Aziyo Biologics, Inc.
$80
Medtronic, Inc.
$63
Philips Electronics North America Corporation
$61
BARD PERIPHERAL VASCULAR, INC.
$59
KCI USA, Inc
$47
Bard Peripheral Vascular, Inc.
$47
Osiris Therapeutics Inc.
$46
Biocompatibles, Inc.
$45
AngioDynamics, Inc.
$44
Shockwave Medical, Inc
$42
Medtronic Vascular, Inc.
$37
Maquet Cardiovascular U.S. Sales, L.L.C.
$35
Admedus Corporation
$35
Reflow Medical Inc
$33
Becton, Dickinson and Company
$32
Bolton Medical Inc
$31
Acacia Pharma Inc
$31
Contego Medical, Inc
$31
ACELL, INC.
$30
Ethicon US, LLC
$30
Abbott Laboratories
$28
Terumo Medical Corporation
$27
BAXTER HEALTHCARE
$22
ShockWave Medical, Inc
$22
Musculoskeletal Transplant Foundation Inc.
$22
Cardinal Health 200, LLC
$21
Mindray DS USA, Inc.
$20
BSN Medical Inc
$20
Integra LifeSciences Corporation
$19
Inari Medical, Inc.
$17
Shire North American Group Inc
$17
Cardinal Health 200 LLC
$15
KCI USA, Inc.
$14
Baxter Healthcare
$12
Top 3 companies account for 54.4% of all-time payments
Associated products mentioned in payments ›
ACUSEAL Vascular Graft · ANDEXXA · AngioSeal · BYFAVO · Barostim Neo System · C3 Delivery System · COOK MEDICAL FILTERS · COOK MEDICAL ZILVER PTX · CUTIMED SORBION · CYTAL · ClosureFast · ClosureRFS · Conformable TAG Thoracic Endoprosthesis · Cook Medical AAA · Cook Medical Filters · Cook Medical Peripheral Intervention · Cook Medical Zilver PTX · DIAMONDBACK PERIPHERAL · Diamondback Peripheral · ECM · ECM Patch · ELUVIA · ENDOCROSS Device · ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · EXCLUDER AAA Endoprosthesis · EXCLUDER Conformable AAA Endoprosthesis with Active Control · EXCLUDER Iliac Branch Endoprosthesis · FLEXITOUCH · FLIXENE · FLOSEAL · FlowTriever · GATTEX · GENERAL VASCULAR INTERVENTION · GORE EXCLUDER Iliac Branch Endoprosthesis · GORE TAG Conformable Thoracic Endoprosthesis · GORE TAG Thoracic Branch Endoprosthesis · GRAFIX PL · GRAFIX/GRAFIXPL/STRAVIX · IGT D Peripheral · IGT_D Peripheral · LIFESTREAM · LUTONIX · MYNX CONTROLTM · MynxGrip Vascular Closure Device · Navicross · PERFORMER · PICO Single Use Negative Pressure Wound Therapy · PICO7 · PREVELEAK · PREVENA · PROGEL · PROLENE · PROPATEN Vascular Graft · Paladin · Peripheral Orbital Atherectomy System · Pouch · RENASYS · Ranger · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TE7 MAX · TIGRIS Stent · TREO ABDOMINAL STENT-GRAFT SYSTEM · VAC VERAFLO CLEANSE CHOICE · VARITHENA · VENASEAL · VIABAHN Endoprosthesis · VIABAHN Endoprosthesis with Heparin Bioactive Surface · VIABAHN Endoprosthesis with PROPATEN Bioactive Surface · VIABAHN VBX Balloon Expandable Endoprosthesis · Vascular Lithotripsy · VenaCure 1470 Pro · VenaSeal · Venovo · XARELTO
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
Vascular surgery physicians in nearby ZIP areas
53
County median income
$74,149
Nearest hospital to ZIP centroid (approximate)
NEXUS CHILDRENS HOSPITAL DALLAS
0.0 mi
0.0 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. Spencer is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Spencer experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Spencer performed 548 office visit, established patient (20-29 min) 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. Spencer receive payments from pharmaceutical companies?
Yes. Dr. Spencer received a total of $6,576 from 48 companies across 250 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. Spencer's costs compare to other vascular surgery physicians in Dallas?
Dr. Spencer's average Medicare payment per service is $194. 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. Spencer) 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 →
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By company
Cardiovascular Systems Inc. Payments to Doctors
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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.
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