HOLLEY ALEXANDER SPEARS (PA-C) – Physician Assistant, NPI 1215329370
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for HOLLEY ALEXANDER SPEARS (PA-C)
13160 MINDANAO WAY
STE 300
MARINA DEL REY, CA 902926393
Phone: (310) 574-0416
Fax: (310) 574-0422
Type: Mailing
2472 PATTERSON RD UNIT 8
GRAND JUNCTION, CO 815051100
Phone: (970) 241-0202
Type: Mailing
360 PEAK ONE DR STE 180
FRISCO, CO 804435948
Phone: (970) 668-3633
Fax: (970) 668-4406
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Boston Scientific Corporation ($66).
Total Amount
$66
General + Research + Ownership
Payments
2
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $66 |
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: 2017-11-30
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 |
|---|---|---|---|---|
| I20171130001169 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 39 | 39 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 28 | 27 | $0 |
| 22630 | Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc | 23 | 23 | $0 |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | 22 | 22 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 21 | 21 | $0 |
Insurance plans in this area (ZIP 90292)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physical Medicine And Rehabilitation | CO | |
| Physical Therapist In Private Practice | CO | |
| Physical Therapist In Private Practice | CO | |
| Physician Assistant | CO | |
| - | CO | |
| - | CO |
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