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ISAAC J. SPEARS MD
NPI 1205270402
Hospitalist in Columbus, OH

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
300 W 10TH AVE FL 3, COLUMBUS, OH 43210(614) 293-7499(614) 366-2360 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2019, Jul 24, 2018, May 8, 2018 and 1 more (4 updates tracked since 2017).

About Isaac J. Spears Md NPPES

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

ISAAC J. SPEARS MD (NPI 1205270402) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.131289) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Pennsylvania State University College Of Medicine (2013).

NPPES Registry Identity

NPI1205270402
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameISAAC J. SPEARSCredential: MD
Location Address300 W 10TH AVE FL 3Columbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7499 · Fax (614) 366-2360
Phone(614) 293-7499
Fax(614) 366-2360
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateFebruary 28, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1205270402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.131289
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.131289 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35.131289 (OH)
300 W 10TH AVE FL 3, Columbus, OH 43210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Isaac J. Spears Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759661069
PECOS Enrollment IDI20170724001415
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services50 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.
59 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$17.26 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$914.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$88.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Isaac Spears's NPI number?

The NPI number for Isaac Spears is 1205270402. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Isaac Spears located?

Isaac Spears practices at 300 W 10th Ave Fl 3, Columbus, OH 43210. The listed phone number is (614) 293-7499.

What is Isaac Spears's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Isaac Spears enrolled in Medicare?

Yes. Isaac Spears is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Isaac Spears accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Isaac 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 Isaac Spears affiliated with any hospitals?

According to CMS data, Isaac Spears is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Isaac Spears was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.