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Mr. David AH Spence, PA

(David Spence, PA-C, Primary Care Physician Assistant)

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Specializes in: Internal Medicine (Adult Medicine) and Primary Care

Professional interests include: women's health issues, cancer, musculoskeletal problems, and more.

2 Essex Way
Essex Junction, VT 05452-3394

(802) 847-8354

Mr. David AH Spence, PA is a primary care doctor in Essex Junction, VT specializing in internal medicine (adult medicine) and primary care. Mr. David AH Spence, PA is affiliated with The University of Vermont Health Network, Adult Primary Care - Essex and UNIVERSITY OF VERMONT MEDICAL CENTER INC.

Office Locations

Address:

2 Essex Way
Essex Junction, VT 05452-3394

Some issues Mr. David AH Spence, PA can help you with:

Mental Health Issues

Mental health issues, also referred to as mental health disorders or mental health illnesses, are a wide variety of conditions that impact behavior, emotion, and cognition. There are many different forms of mental health issues, some of which are acute (short-term), while others are chronic. Common mental health issues include:

Anxiety disorders, such as obsessive compulsive disorder (OCD), panic disorder, and phobias
Mood disorders, such as depression and bipolar disorder
Eating disorders, such as anorexia and bulimia
Personality disorders, such as borderline and narcissistic personality disorders
Grief and trauma, such as post-traumatic stress disorder (PTSD)
Impulse control and addiction disorders
Psychotic disorders, such as schizophrenia and schizoaffective disorder

No single cause of mental health issues exists. Multiple factors may increase one's risk for developing mental health issues, including but not limited to:

Genetic history
Chemical imbalances in the brain
Traumatic brain injury (TBI)
Substance use
Exposure to viruses, chemicals, or other substances in the womb
Adverse life experiences, such as childhood trauma or recurring stress
Isolation and poor living conditions

Mental health issues are typically diagnosed by a provider like a psychiatrist or a psychologist. These issues are diagnosed through psychological evaluation and talk therapy.

Mental health therapy can be an effective tool in supporting people who are struggling with unwanted feelings, behaviors, or difficult circumstances in their lives. Many forms of therapy are available, including specialized therapies tailored to particular disorders. For many issues, therapists help patients manage their conditions through talk therapy. Other treatments can include medication or stays at a psychiatric facility. Mental health therapy can help people with mental health issues improve their mental and emotional wellbeing.

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

doctor visit	166

**Gender**
Male	64
Female	29

**Age**
From 65 to 74	48
From 75 to 84	20
85 and over	0
Less than 65	0

Hypertension	58
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	31
Depression	20
Chronic Kidney Disease	17
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	30
Dementia	0
Cancer	0

doctor visit	229

**Gender**
Male	75
Female	44

**Age**
From 65 to 74	63
From 75 to 84	26
85 and over	0
Less than 65	0

Hypertension	61
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	28
Depression	25
Chronic Kidney Disease	24
Asthma	11
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Dementia	0
Cancer	0

doctor visit	283

**Gender**
Male	170
Female	106

**Age**
From 65 to 74	148
From 75 to 84	58
85 and over	0
Less than 65	0

Hypertension	52
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	35
Depression	28
Chronic Kidney Disease	19
Asthma	13
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	15
Diabetes	26
Dementia	0
Cancer	9

doctor visit	240

**Gender**
Male	89
Female	42

**Age**
From 65 to 74	70
From 75 to 84	32
85 and over	0
Less than 65	0

Hypertension	54
High Cholesterol	35
Stroke	0
Ischemic Heart Disease	28
Depression	27
Chronic Kidney Disease	20
Asthma	16
Osteoperosis	0
Atrial Fibrilation	9
Heart Failure	10
Chronic Obstructive Pulmonary Disease	12
Diabetes	22
Dementia	0
Cancer	9

doctor visit	355

**Gender**
Male	110
Female	58

**Age**
From 65 to 74	91
From 75 to 84	40
85 and over	12
Less than 65	25

Hypertension	45
High Cholesterol	30
Stroke	0
Ischemic Heart Disease	21
Depression	18
Chronic Kidney Disease	23
Asthma	0
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	10
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	0
Cancer	10

doctor visit	354

**Gender**
Male	111
Female	66

**Age**
From 65 to 74	97
From 75 to 84	36
85 and over	13
Less than 65	31

Hypertension	49
High Cholesterol	32
Stroke	0
Ischemic Heart Disease	25
Depression	22
Chronic Kidney Disease	18
Asthma	7
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	10
Chronic Obstructive Pulmonary Disease	11
Diabetes	28
Dementia	7
Cancer	8

doctor visit	530

**Gender**
Male	187
Female	203

**Ethnicity**
Non-Hispanic White	375
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	188
From 75 to 84	124
85 and over	35
Less than 65	43

Hypertension	58
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	28
Depression	22
Chronic Kidney Disease	24
Asthma	8
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	25
Dementia	8
Cancer	9

doctor visit	363

**Gender**
Male	144
Female	172

**Ethnicity**
Non-Hispanic White	297
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	145
From 75 to 84	100
85 and over	37
Less than 65	34

Hypertension	53
High Cholesterol	41
Stroke	3
Ischemic Heart Disease	28
Depression	21
Chronic Kidney Disease	20
Asthma	7
Osteoperosis	8
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	20
Dementia	7
Cancer	7

doctor visit	814

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Mr. David AH Spence, PA for Medicare patients.

doctor visit	371

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Mr. David AH Spence, PA.

**Gender**
Male	95
Female	72

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	67
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	9
75 to 84	43
Less than 65	13
65 to 74	85

Average of Total of Conditions of Medicare patients treated by Mr. David AH Spence, PA From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Mr. David AH Spence, PA treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	43
High Cholesterol	31
Stroke	0
Ischemic Heart Disease	22
Depression	18
Chronic Kidney Disease	16
Asthma	6
Osteoporosis	1
Heart Failure	8
Chronic Obstructive Pulmonary Disease	9
Diabetes	20
Atrial Fibrillation	5
Dementia	2
Cancer	5

Education & Training

He completed residency at Physician Careers. He is certified by the National Certification Council of Physician Assist and has a state license in Vermont.

Residency: Physician Careers

Board Certification: National Certification Council of Physician Assist

Licensed In: Vermont

Affiliations & Hospitals

Mr. David AH Spence, PA is associated with these hospitals and organizations:

The University of Vermont Health Network

Adult Primary Care - Essex

UNIVERSITY OF VERMONT MEDICAL CENTER INC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Mr. David AH Spence, PA appears to accept the following insurance providers: MagnaCare, CIGNA Lifesource, Great-West Healthcare, Fidelis Care, Medicare Advantage, Harvard Pilgrim Health Care, Community Care Network (CCN), United Healthcare, Aetna, TRICARE, Medicare, Medicaid, Empire BlueCross BlueShield, Humana, Delta Dental, Cigna, OptumHealth Behavioral Solutions (United Behavioral Health), CHAMPVA, Anthem, MVP Health Care, First Health, UnitedHealthcare, The Vermont Health Plan (TVHP), Vermont Blue Advantage, St. Regis Mohawk Tribe (Medicare), Workers' Comp (VT and NY), Capital District Physicians' Healthcare Network (CDPHN), Zelis/Stratose, Optum Rx, Capital District Physicians' Health Plan (CDPHP), EBPA, Excellus Blue Cross Blue Shield and Blue Cross Blue Shield of Vermont (BCBSVT) / CBA (includes Dental).

Insurance Accepted by Provider includes:

According to our sources, Mr. David AH Spence, PA accepts the following insurance providers:

MagnaCare

CIGNA Lifesource

Great-West Healthcare

Fidelis Care

Medicare Advantage

Harvard Pilgrim Health Care

Community Care Network (CCN)

United Healthcare

Aetna

TRICARE

Medicare

Medicaid

Empire BlueCross BlueShield

Humana

Delta Dental

Cigna

OptumHealth Behavioral Solutions (United Behavioral Health)

CHAMPVA

Anthem

MVP Health Care

First Health

UnitedHealthcare

The Vermont Health Plan (TVHP)

Vermont Blue Advantage

St. Regis Mohawk Tribe (Medicare)

Workers' Comp (VT and NY)

Capital District Physicians' Healthcare Network (CDPHN)

Zelis/Stratose

Optum Rx

Capital District Physicians' Health Plan (CDPHP)

EBPA

Excellus Blue Cross Blue Shield

Blue Cross Blue Shield of Vermont (BCBSVT) / CBA (includes Dental)

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Ratings & Reviews

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Biography

Mr. David Spence practices primary care. His areas of expertise include the following: cancer, women's health issues, and imaging procedures. He is professionally affiliated with The University of Vermont Health Network. Mr. Spence can take several insurance carriers, including Anthem, UnitedHealthcare, and Blue California.

Select Year:

Mr. David AH Spence, PA

Office Locations

Some issues Mr. David AH Spence, PA can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Mr. David AH Spence, PA in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Mr. David AH Spence, PA From 2013 - 2021

Education & Training

Affiliations & Hospitals

Insurance Information

Ratings & Reviews

Biography

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