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DR. CLAUDE OATHER SPEARS NP-C
NPI 1316507064
Nurse Practitioner - Family in Accokeek, MD

Active since June 15, 2019PECOS Enrolled
13807 DOCTOR EDELEN DR, ACCOKEEK, MD 20607(571) 235-4421 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2019, Jun 15, 2019 (2 updates tracked since 2019).

About Dr. Claude Oather Spears Np-c NPPES

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

DR. CLAUDE OATHER SPEARS NP-C (NPI 1316507064) is an individual family provider in Accokeek, Maryland, licensed in Maryland (R226471) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316507064
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. CLAUDE OATHER SPEARSCredential: NP-C
Location Address13807 DOCTOR EDELEN DRAccokeek, MD 20607-3786
Mailing Address13807 Doctor Edelen DrAccokeek, MD 20607-3786 · (571) 235-4421
Phone(571) 235-4421
Sole ProprietorYes
Enumeration DateJune 15, 2019
Last NPPES UpdateOctober 1, 20192 updates tracked since enumeration
✔ NPI 1316507064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R226471
Also ListedFamily MedicineTaxonomy 207Q00000X · License R226471 (MD)
13807 DOCTOR EDELEN DR, Accokeek, MD 20607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Dr. Claude Oather Spears Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20607 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Claude Spears's NPI number?

The NPI number for Claude Spears is 1316507064. It was assigned to this individual provider in the NPPES registry on June 15, 2019.

Where is Claude Spears located?

Claude Spears practices at 13807 Doctor Edelen Dr, Accokeek, MD 20607. The listed phone number is (571) 235-4421.

What is Claude Spears's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claude Spears enrolled in Medicare?

Yes. Claude Spears is registered in the Medicare PECOS enrollment system.

What insurance does Claude Spears accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Claude 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.

When was this NPI record last updated?

The NPPES record for Claude Spears was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.