MR. DOUGLAS J SPEAR (MA CCC A) – Audiologist, NPI 1649257817

MR. DOUGLAS J SPEAR (MA CCC A) is a healthcare provider. based in Lexington, Kentucky. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials MA CCC A. They hold a License No. 0154 (KY). The NPI Number for MR. DOUGLAS J SPEAR (MA CCC A) is 1649257817

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOUGLAS J SPEAR (MA CCC A)
NPI
1649257817
Phone
(859) 278-1109
Address
268 Southland Dr
Enumeration Date
28 December 2005
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025843573
Graduation Year
1987 (39 years ago)
PAC ID
1658423082
Group Practice PAC ID
2062451610
Professional Enrollment ID
I20091029000351
Address ID
KY402032793LO117XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:20State licenses:4Digital endpointsOther names

148 QUALIFIED AUDIOLOGIST in KY

Provider Addresses for MR. DOUGLAS J SPEAR (MA CCC A)

  • 268 Southland Dr

    Suite 100

    Lexington, KY 405031938

    Phone: (859) 278-1109

    Fax: (859) 406-1130

    Type: Location

  • 117 E KENTUCKY ST

    LOUISVILLE, KY 402032793

    Phone: (502) 584-3573

    Type: Location

  • 268, Southland Drive, Deerfield, Lexington, Fayette County, Kentucky, 40503, United States

    SUITE 100

    LEXINGTON, KY 405031938

    Phone: (859) 278-1109

    Fax: (859) 406-1130

    Type: Mailing

  • 320 LINDENHURST DR APT 12202

    LEXINGTON, KY 405091379

    Phone: (859) 608-3757

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091029000351IQualified AudiologistKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test10290$0
92567Test to assess middle ear function9585$0
92587Placement of ear probe for computerized measurement of sound with interpretation and report2423$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062451610View full group profile
NameSpecialtyState
-KY
-KY
Qualified AudiologistKY
Qualified AudiologistKY
Qualified AudiologistKY
Qualified AudiologistKY
Qualified AudiologistTX
Qualified AudiologistKY
-KY
Qualified AudiologistKY

Reviews

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Frequently asked questions

Does MR. DOUGLAS J SPEAR (MA CCC A) have a public NPI I can cite?
Public records show MR. DOUGLAS J SPEAR (MA CCC A) under NPI 1649257817.
Is MR. DOUGLAS J SPEAR (MA CCC A)'s NPI status active today?
Active status means MR. DOUGLAS J SPEAR (MA CCC A)'s NPI record is not deactivated in the public file.
What services align with MR. DOUGLAS J SPEAR (MA CCC A)'s listing?
MR. DOUGLAS J SPEAR (MA CCC A)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
Is MR. DOUGLAS J SPEAR (MA CCC A) tied to Lexington, Kentucky?
If you are local to Lexington, Kentucky, MR. DOUGLAS J SPEAR (MA CCC A) may be relevant to your search.
Can I export MR. DOUGLAS J SPEAR (MA CCC A)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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