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Active NPI 1144985128 Individual Practitioner Male Practitioner

Nicholas Ray Spear , PA-C

Physician Assistant • Ramona, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Spear, PA-C is a certified Physician Assistant practicing in Ramona, CA. With approximately 5 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2021, Nicholas Spear delivers high-quality medical care to the local community at 16603 JOHN HENRY LN.

Nicholas Spear is affiliated with Arch Health Partners Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16603 John Henry Ln

Ramona, CA 920656931

Telephone 6196999839

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ramona, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -13.5 yrs vs City Avg
City Avg: 18.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Ramona, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spear (5 Years) 5 Yrs
Ramona Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
204 192 $256.21 $82.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
73 72 $371.07 $116.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
43 43 $307.51 $101.12
81002 Urinalysis, manual test
43 41 $11.00 $3.41
71046 X-ray of chest, 2 views
29 28 $88.45 $30.44
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
26 23 $208.31 $68.88
93000 Routine ekg using at least 12 leads including interpretation and report
25 24 $50.00 $13.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $420.50 $150.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
19 19 $50.00 $13.31
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
15 15 $103.67 $34.62
36415 Insertion of needle into vein for collection of blood sample
15 13 $25.67 $8.65

Medical Specialties & State Licenses

CMS Verified: 2024-10-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 60313

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Arch Health Partners Inc

211 13th St, Ramona, CA 920652711

Phone: 7607895160

Arch Health Partners Inc

15611 Pomerado Rd, Poway, CA 920642437

Phone: 8586753100

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location October 11, 2024

Registered at 16603 JOHN HENRY LN, RAMONA, CA 920656931 (Tel: 6196999839)

NPI Profile Active November 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2021

Registered at 32747 BIRCH HILL RD, PALOMAR MOUNTAIN, CA 920601702 (Tel: 6196999839)

📍
Updated Business Mailing Address November 03, 2021

Registered at PO BOX 176, PALOMAR MOUNTAIN, CA 920600176 (Tel: 6196999839)

👤
Provider Name / Credentials Updated November 03, 2021

Recorded as NICHOLAS SPEAR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2021

Physician Assistant (License #60313 in CA)

🟢
Initial NPI Registration & Enumeration November 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144985128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2021
Last Update: October 11, 2024
Sole Proprietor: No

Mailing Address

Po Box 176

Palomar Mountain, CA 920600176

Phone: 6196999839

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.