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- 16603 John Henry Ln, Ramona, CA 92065
About Nicholas Spear
Nicholas R. Spear, PA-C is a physician assistant based in Ramona, CA. Nicholas is a 2021 graduate of Loma Linda University School of Medicine. According to Medicare claims data, Nicholas cared for 490 Medicare patients across 512 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more. The provider's National Provider Identifier (NPI) is 1144985128.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (619) 699-9839
- Email not available
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Practice Locations
16603 JOHN HENRY LN
Ramona, CA 92065
Procedures Most Often Billed to Medicare
512 services · 490 patients · 11 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Insertion of needle into vein for collection of blood sample | Procedure | 36415 |
15 | Less often than most peers in Physician Assistant |
| X-ray of chest, 2 views | Imaging | 71046 |
29 | More often than most peers in Physician Assistant |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Treatment | 93000 |
25 | As often as other peers in Physician Assistant |
| Injection of drug or substance under skin or into muscle | Treatment | 96372 |
19 | Less often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
204 | More often than most peers in Physician Assistant |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
73 | As often as other peers in Physician Assistant |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
43 | More often than most peers in Physician Assistant |
| Urinalysis, manual test | Lab test | 81002 |
43 | More often than most peers in Physician Assistant |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | Lab test | 87428 |
26 | As often as other peers in Physician Assistant |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
20 | As often as other peers in Physician Assistant |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other physician assistants in Ramona 2
Same specialty, same city.
Trained at Loma Linda University School of Medicine 8
Other providers in the same specialty who trained at the same institution.
Class of 2021 at Loma Linda University School of Medicine 7
Providers who graduated from the same medical school in the same year.
More connections — 8 related providers in 1 group
Also performs Insertion of needle into vein for collection of blood sample 8
Providers in CA who bill this service to Medicare most often.
Common questions
What does Nicholas R. Spear specialize in?
Nicholas R. Spear is a physician assistant in Ramona, CA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where is Nicholas R. Spear located?
Nicholas R. Spear is listed at 16603 John Henry Ln, Ramona, CA 92065. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Nicholas R. Spear's phone number?
The number on file is (619) 699-9839. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Nicholas R. Spear's NPI number?
Nicholas R. Spear's National Provider Identifier is 1144985128. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Nicholas R. Spear train?
Nicholas R. Spear attended Loma Linda University School of Medicine, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
How long has Nicholas R. Spear been practicing?
Nicholas R. Spear has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
What does Nicholas R. Spear do most often?
According to Medicare billing data, Nicholas R. Spear performs procedures including insertion of needle into vein for collection of blood sample; reads or performs imaging such as x-ray of chest, 2 views; provides treatments such as routine electrocardiogram using at least 12 leads with interpretation and report and injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Nicholas R. Spear confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Nicholas R. Spear. If this is you, claiming it is free.
Guide.md
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