Nicholas Ray Spear, PA-C
- Medicare services, 2024
- 512
- Medicare patients, 2024
- 320
- Part D claims, 2024
- 467
- Hospital affiliations
- 1
- Industry payments
- $18
- Practice address
- 15611 Pomerado Rd, Poway, CA 92064
- Practice phone
- Call (858) 521-0031
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Poway Surgery Center
Surgery Center - Medicare-Certified · Poway, California
Find Nicholas Spear's professional email, personal email and mobile number
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Nicholas Ray Spear is a physician assistant in Poway, California
Nicholas Spear practices at Poway Surgery Center in Poway, California.
Nicholas Spear's NPI, 1144985128, was assigned on November 3, 2021. Nicholas Spear graduated from Loma Linda University School of Medicine in 2021. Nicholas Spear holds California license 60313.
- NPI
- 1144985128NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4082005202
- NPI enumeration date
- November 3, 2021
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (858) 521-0031
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Nicholas Ray Spear practices at Poway Surgery Center in Poway, California
Nicholas Spear's primary practice is Poway Surgery Center, at 15611 Pomerado Rd, Poway, CA 92064. The practice phone is (858) 521-0031.
- Poway Surgery Center15611 Pomerado Rd, Poway, CA 92064Phone(858) 521-0031
Source: Dmand AI Affiliation Data
Nicholas Ray Spear is affiliated with 3 sites of care and 3 medical groups
Nicholas Spear's primary practice is Poway Surgery Center in Poway, California. Nicholas Spear is also affiliated with Palomar UC San Diego Health Poway. The medical group on file is Palomar Health Medical Group. Dmand AI also links Nicholas Spear to 2 more medical groups and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Nicholas Ray Spear's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Nicholas Spear practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Poway Surgery Center | Available with a free account |
| +2 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Nicholas Ray Spear is one of 11,482 physician assistants in California
Physician assistant is Nicholas Spear's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Nicholas Spear is licensed in California.
Specialties and state licenses
- Physician assistant, CaliforniaPrimary
Clinical focus
Dmand AI lists acute sinusitis, acute skin infection, ankle or foot injury, broken or dislocated ankle/ or foot, conjunctivitis, contact dermatitis, ear infection and hemorrhoids among the conditions Nicholas Spear treats.
Physician assistants near Nicholas Spear
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Nicholas Ray Spear billed Medicare for 512 services in 2024
CMS data shows 512 Medicare services from Nicholas Spear across 11 procedure codes in 2024, for 320 Medicare patients. Medicare paid $25,585 for them. Every service was in an office.
Nicholas Spear's Medicare services by type, 2024
- Office and hospital visits340
- Lab and pathology84
- Tests and treatments44
- Imaging29
- Surgery15
Nicholas Spear compared with the California median for physician assistants, 2024
- Nicholas Spear
- California median
- Medicare services
- 512vs 2042.5 times
- Medicare patients
- 320vs 1053.0 times
- Part D claims
- 356vs 24347% above
Medians across 7,065 physician assistants in California with Dmand AI profiles that report each measure.
Nicholas Spear's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Nicholas Ray Spear treated 320 Medicare patients in 2024, average age 76
CMS counts 320 Medicare patients who saw Nicholas Spear in 2024. The largest group is 65 to 74, with 129 patients. 74% of them have high cholesterol, and 72% have high blood pressure. 9% are also on Medicaid. Their average risk score is 1.03, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Nicholas Spear's median patient age at 57, with 57% women.
Nicholas Spear's Medicare patients by age, 2024
Nicholas Spear's Medicare patients by sex, 2024
- Women19862%
- Men12238%
Chronic conditions among Nicholas Spear's Medicare patients, 2024
- High cholesterol74%
- High blood pressure72%
- Arthritis47%
- Diabetes25%
- Mood disorders22%
- Chronic kidney disease20%
- Depression20%
- Anxiety19%
Share of Medicare patients with each condition. A patient can have several.
Nicholas Spear's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 57
Patient panel by sex, all payers
- Women57%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Nicholas Ray Spear wrote 467 Medicare Part D claims in 2024
In 2024, Nicholas Spear wrote 467 Medicare Part D claims for 332 patients. 90% of them were for generic drugs. CMS names the drug for 356 of them, across 12 drugs with 11 or more claims each, at $3,233 in total drug cost.
Nicholas Spear's Part D claims by kind of drug, 2024
- Generic421 claims90%
- Brand-name and other46 claims10%
Nicholas Spear's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Nicholas Spear's Part D claims, 2024
- Antibiotics49%231 of 467 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Nicholas Ray Spear takes part in Medicare
Nicholas Spear accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Nicholas Ray Spear received $18 in industry payments in 2024
CMS Open Payments shows 1 general payment to Nicholas Spear from 1 drug or device company in 2024. Food and beverage make up the largest share, 100% of the total. Pfizer Inc. paid the most, $18.
Companies that paid Nicholas Spear the most, 2024 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Nicholas Ray Spear graduated from Loma Linda University School of Medicine
Nicholas Spear graduated from Loma Linda University School of Medicine in 2021.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Nicholas Ray Spear's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Nicholas Ray Spear
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Nicholas Ray Spear's NPI number?
Nicholas Ray Spear's NPI number is 1144985128. It was assigned on November 3, 2021, and it is active in the NPI Registry.
What does Nicholas Ray Spear specialize in?
Nicholas Ray Spear is a physician assistant in Poway, California. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Nicholas Ray Spear practice?
Nicholas Spear practices at 15611 Pomerado Rd, Poway, CA 92064. Nicholas Spear's primary practice is Poway Surgery Center in Poway, California. Dmand AI also links Nicholas Spear to 2 medical groups and 1 group practice or clinic.
What is Nicholas Ray Spear's office phone number?
The practice phone on file for Nicholas Spear is (858) 521-0031.
What is Nicholas Ray Spear's medical license number?
Nicholas Spear holds California license 60313.
Which hospitals is Nicholas Ray Spear affiliated with?
Nicholas Spear is affiliated with Palomar UC San Diego Health Poway.
What medical group is Nicholas Ray Spear part of?
Nicholas Spear is linked to Palomar Health Medical Group. Dmand AI links Nicholas Spear to 2 more medical groups.
Does Nicholas Ray Spear accept Medicare?
Yes. CMS data shows Nicholas Spear billed Medicare for 512 services in 2024, and Nicholas Spear accepts Medicare assignment.
How many Medicare patients does Nicholas Ray Spear see?
CMS counts 320 Medicare patients who saw Nicholas Spear in 2024, with an average age of 76.
What services does Nicholas Ray Spear bill to Medicare?
In 2024, Nicholas Spear's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and lab and pathology test (81002).
Show 4 more questionsShow fewer questions
Where did Nicholas Ray Spear go to medical school?
Nicholas Spear graduated from Loma Linda University School of Medicine in 2021.
What drugs does Nicholas Ray Spear prescribe most?
In 2024 Medicare Part D data, Nicholas Spear's most prescribed drugs by claims were Prednisone, Albuterol Sulfate Hfa and Azithromycin.
Has Nicholas Ray Spear received payments from drug or device companies?
CMS Open Payments shows $18 in general payments to Nicholas Spear from 1 company from 2024 to 2024. The largest total came from Pfizer Inc.
How long has Nicholas Ray Spear been practicing?
Nicholas Spear graduated from medical school in 2021, 5 years ago.
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