MR. NICHOLAS RAY SPEAR (PA-C) – Physician Assistant, NPI 1144985128
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for MR. NICHOLAS RAY SPEAR (PA-C)
PO BOX 176
PALOMAR MOUNTAIN, CA 920600176
Phone: (619) 699-9839
Type: Mailing
16603 JOHN HENRY LN
RAMONA, CA 920656931
Phone: (619) 699-9839
Type: Location
32747 BIRCH HILL RD
PALOMAR MOUNTAIN, CA 920601702
Phone: (619) 699-9839
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $612.
Total Amount is formed as General ($612) + Research ($0) + Ownership ($0) = $612.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($128).
Total Amount
$612
General + Research + Ownership
Payments
22
Total payment records
General Amount
$612
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $128 |
| Incyte Corporation | $111 |
| Seagen Inc. | $34 |
| BeiGene USA, Inc. | $26 |
| Celgene Corporation | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211223001594 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 142 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 59 | $0 |
| 71046 | X-ray of chest, 2 views | 33 | 33 | $0 |
| 81002 | Urinalysis, manual test | 33 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 92060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | WI | |
| Vascular Surgery | NY | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Qualified Audiologist | CA | |
| Orthopedic Surgery | CA | |
| Internal Medicine | CA |
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