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DR. NYASHA L.M. SPEARS MD
NPI 1174573208
Family Medicine in Duluth, MN

Active since May 11, 2006Opted out of Medicare · through Mar 6, 2028
26 E SUPERIOR ST, STE. 205, DULUTH, MN 55802(218) 249-4300(218) 249-4350 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nyasha L.m. Spears Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NYASHA L.M. SPEARS MD (NPI 1174573208) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (44835) and active in the NPI registry since May 2006. She has opted out of Medicare through March 6, 2028 and remains eligible to order and refer, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1174573208
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NYASHA L.M. SPEARSCredential: MD
Location Address26 E SUPERIOR ST, STE. 205Duluth, MN 55802-2124
Mailing Address26 E Superior St, Ste. 205Duluth, MN 55802-2124 · (218) 249-4300 · Fax (218) 249-4350
Phone(218) 249-4300
Fax(218) 249-4350
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1174573208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 44835✔ Licensed in WI · 47149
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
26 E SUPERIOR ST, Duluth, MN 55802
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Other Identifiers 2

Medicare UPINH75764WI
Medicaid34591300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nyasha L.m. Spears Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2026 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2026
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT GLENN MCDONALD M. D.
Family Medicine
26 E SUPERIOR ST, SUITE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
DR. PETER ALAN WODRICH M.D.
Family Medicine
26 E SUPERIOR ST, STE. 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
RACHEL MARIE NELSON M.D.
Family Medicine
26 E SUPERIOR ST, SUITE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
ST. LUKE'S HOSPITAL OF DULUTH
Family Medicine
26 E SUPERIOR ST, STE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
DR. TIMOTHY SCOTT LAMASTER M. D.
Family Medicine
26 E SUPERIOR ST, SUITE 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
MELISSA ANN NERVICK-THORNTON MSED, LPCC
Counselor (Professional)
26 E SUPERIOR ST
DULUTH, MN 55802
St. Louis County (218) 722-4180
TONI MARIE ROBERTS PA-C
Physician Assistant
26 E SUPERIOR ST, STE. 205
DULUTH, MN 55802
St. Louis County (218) 249-4300
DR. CRAIG LEE GILBERTSON M.D.
Family Medicine
26 E SUPERIOR ST, STE. 205
DULUTH, MN 55802
St. Louis County (218) 249-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nyasha Spears's NPI number?

The NPI number for Nyasha Spears is 1174573208. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Nyasha Spears located?

Nyasha Spears practices at 26 E Superior St Ste. 205, Duluth, MN 55802. The listed phone number is (218) 249-4300.

What is Nyasha Spears's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nyasha Spears enrolled in Medicare?

No. Nyasha Spears has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nyasha Spears accept?

Health plans from HealthPartners, Medica and Security Health Plan list Nyasha Spears as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nyasha Spears affiliated with any hospitals?

According to CMS data, Nyasha Spears is affiliated with St Lukes Hospital and Lake View Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nyasha Spears was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.