Doctor profile · Federal record
Dr. Nicholas Spear, PA-C
Physician Assistant · Ramona, CA
- NPI 1144985128
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
16603 John Henry Ln
Ramona, CA 920656931
(619) 699-9839 - Mailing address
-
Po Box 176
Palomar Mountain, CA 920600176
Credentials & registration
- NPI registered
- November 2021 — 5 yrs on file
- Profile last updated
- October 11, 2024
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #60313
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144985128. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
322
Distinct HCPCS
8
Medicare allowed
$22,064
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 147 | 142 | $82 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 59 | 59 | $116 | |
71046 |
X-ray of chest, 2 views | 33 | 33 | $32 | |
81002 |
Urinalysis, manual test | 33 | 31 | $3 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $96 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 12 | 12 | $16 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 12 | 12 | $16 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 12 | 11 | $13 |
In context: peer comparison
Among 1 peers in Ramona Physician Assistant, average services per provider: 40. This provider delivers 8.1× the peer median.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 1 | $17.64 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
267
Patients
244
Total drug cost
$3,138
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 57 | 57 | $138 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 38 | 38 | $811 |
| Cephalexin | Generic | 27 | 27 | $138 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 26 | 26 | $232 |
| Doxycycline Hyclate | Generic | 20 | 20 | $265 |
| Azithromycin | Generic | 18 | 18 | $87 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 18 | 18 | $96 |
| Ofloxacin | Generic | 16 | 15 | $395 |
| Cefdinir | Generic | 14 | 14 | $145 |
| Anastrozole | Generic | 11 | 0 | $162 |
Hospital affiliations
Frequently asked questions
What is Dr. Nicholas Spear's medical specialty?
Dr. Nicholas Spear practices Physician Assistant in Ramona, CA.
Where does Dr. Nicholas Spear practice?
Dr. Nicholas Spear practices at 16603 John Henry Ln, Ramona, CA 920656931. Office phone: 6196999839.
What is Dr. Nicholas Spear's NPI?
Dr. Nicholas Spear's National Provider Identifier (NPI) is 1144985128, issued by NPPES.
Does Dr. Nicholas Spear accept Medicare assignment?
Yes. Dr. Nicholas Spear accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicholas Spear commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); X-ray of chest, 2 views (HCPCS 71046). Source: CMS Medicare Physician & Other Practitioners file.