DR. SCOTT JAY SPEAR M.D. - NPI 1346225190 - Pediatrics in Edinburg, TX

Q: What is Scott Spear's NPI number?

The NPI number for Scott Spear is 1346225190. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Scott Spear's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Spear was last updated on May 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Scott Jay Spear M.d. NPPES

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

DR. SCOTT JAY SPEAR M.D. (NPI 1346225190) is an individual adolescent medicine provider in Edinburg, Texas, licensed in Texas (F3348) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Edinburg.

NPPES Registry Identity

NPI1346225190

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. SCOTT JAY SPEARCredential: M.D.

Location Address4150 CROSSPOINT BLVDEdinburg, TX 78539-1803

Mailing Address2102 Treasure Hills Blvd # 3.14406Harlingen, TX 78550-8736 · (956) 296-1437 · Fax (956) 296-6842

Phone(956) 296-1960

Fax(956) 381-5397

Sole ProprietorYes

Enumeration DateDecember 14, 2005

Last NPPES UpdateMay 4, 20202 updates tracked since enumeration

NPPES CertifiedMay 4, 2020

✔ NPI 1346225190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in TX · F3348✔ Licensed in WI · 36224-020✔ Licensed in AR · E-5207

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4150 CROSSPOINT BLVD, Edinburg, TX 78539

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Secondary Practice Location 1

Location 11214 W Schunior StEdinburg, TX 78541-2337 · Phone (956) 296-1731 · Fax (956) 296-1730

Other Identifiers 2

OtherH08ML39401TX · Bcbs

Medicaid0997629-45TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Scott Jay Spear M.d. 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.

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.

81.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.83

Promoting Interoperability

Improvement Activities

Cost

49.23

Reported Quality Measures

Cervical Cancer Screening

80%65 patients4/55-star benchmark: 98%

Colorectal Cancer Screening

55%55 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

58%33 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%136 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

57%111 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

84%98 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

36%100 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 99% · 102 patients

99%102 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

ANGELA MARIA TANGUMA NP

Nurse Practitioner