Spencer Miles Marsh
Nurse Practitioner โข Killeen, TX
2201 Clear Creek Rd
Killeen, TX 765494110
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 18, 2022; this date does not establish years in practice.
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Published CMS data list 71 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99284 โ Emergency department visit with moderate level of medical decision making: 39 service units.
- 99285 โ Emergency department visit with high level of medical decision making: 20 service units.
- 99283 โ Emergency department visit with low level of medical decision making: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 15 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin โ 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Killeen, TX (2024, 14 clinicians with data). Median for this group: 253. Middle half: 100 to 424.
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 153 in 2023 to 71 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
2201 Clear Creek Rd
Killeen, TX 765494110
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Sound Physicians Emergency Medicine Of Texas Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2022
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
78 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $7,322 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $5,559 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
15 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$131 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Spencer Marsh has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Spencer Marsh as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Killeen and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Killeen, TX (2024, 14 clinicians with data). Median for this group: 253. Middle half: 100 to 424.
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Killeen, TX (2024, 14 clinicians with data). Median for this group: $20,831. Middle half: $7,541 to $35,488.
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Killeen, TX (2024, 14 clinicians with data). Median for this group: $14,414. Middle half: $5,426 to $24,900.
A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Killeen, TX (2024, 13 clinicians with data). Median for this group: 275. Middle half: 89 to 795.
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Killeen, TX (2024, 13 clinicians with data). Median for this group: $7,279. Middle half: $1,023 to $21,311.
A lower Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
28 active clinicians are listed under Nurse Practitioner with a practice address in Killeen, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Killeen
17.9% of these 28 clinicians have the CMS telehealth indicator.
67.9% of these 28 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 54% from 153 in 2023 to 71 in 2024.
- 2023: 153
- 2024: 71
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Medicare-allowed amount
Medicare-allowed amount decreased 60% from $18,244 in 2023 to $7,322 in 2024.
- 2023: $18,244
- 2024: $7,322
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Paid by Medicare
Paid by Medicare decreased 61% from $14,109 in 2023 to $5,559 in 2024.
- 2023: $14,109
- 2024: $5,559
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 32% from 22 in 2023 to 15 in 2024.
- 2023: 22
- 2024: 15
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30-day fills
30-day fills decreased 42% from 26 in 2023 to 15 in 2024.
- 2023: 26
- 2024: 15
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Part D drug cost
Part D drug cost went from $495 in 2023 to $131 in 2024.
- 2023: $495
- 2024: $131
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99284
Emergency department visit with moderate level of medical decision making
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39 | 38 | $1347.85 | $97.30 |
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99285
Emergency department visit with high level of medical decision making
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20 | 18 | $1993.70 | $141.77 |
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99283
Emergency department visit with low level of medical decision making
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12 | 12 | $760.00 | $57.67 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 15 | 116 | $131.36 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-10-10NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20220929002300
TX
5092191981
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Sound Physicians Emergency Medicine Of Texas Pllc
2201 Clear Creek Rd, Killeen, TX 765494110
Phone: 2545267523
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist, Advanced Registered Nurse Practitioner, Advanced Practice Registered Nurse, Master of Science
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Nurse Practitioner
Internal Medicine
Doctor of Osteopathic Medicine (D.O.), Master of Business Administration
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History
NPI enumerated August 18, 2022.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2022 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Killeen
- Nina Haddad
- Natasha Wilhite, APRN-CNP
- Lori Hudson, FNP
- Bineeta Shukla
- Kiffany Betters, APRN, FNP-C
- Dr. Rachel Millard, DNP
Mailing Address
700 Lost Hunters Cyn
China Spring, TX 766333432
Phone: 5034159580