JESSE LYNN SPEAR MD
NPI 1447339684
Internal Medicine in Carmel, IN

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
11725 N ILLINOIS ST, SUITE 595, CARMEL, IN 46032(317) 688-5522(317) 688-5533 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Jan 23, 2017 (2 updates tracked since 2017).

About Jesse Lynn Spear Md NPPES

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

JESSE LYNN SPEAR MD (NPI 1447339684) is an individual internal medicine provider in Carmel, Indiana, licensed in Indiana (01061024A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1447339684
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJESSE LYNN SPEARCredential: MD
Location Address11725 N ILLINOIS ST, SUITE 595Carmel, IN 46032-3008
Mailing Address250 N Shadeland Ave Ste 200Indianapolis, IN 46219-4959
Fax(317) 688-5533
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateNovember 6, 2006
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
NPI 1447339684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01061024A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11725 N ILLINOIS ST, Carmel, IN 46032

Other Identifiers 2

Other000000679049IN · Anthem Bcbs (svmg)
Medicaid200921080IN

Accepted 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

Jesse Lynn Spear 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 ID6204920416
PECOS Enrollment IDI20081209000690
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 9

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 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.
191 services97 patients
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.
119 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
95 services95 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.
79 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
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.
44 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$39.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims33 services$34.69 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$15.88 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers20 claims118 services$1.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims17 services$13.50 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Genetic Counselor, MS
11725 N ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology (Reproductive Endocrinology)
11725 N ILLINOIS ST, SUITE 515
CARMEL, IN 46032
Neurological Surgery
11725 N ILLINOIS ST, SUITE 275
CARMEL, IN 46032
Orthopaedic Surgery
11725 N ILLINOIS ST, SUITE 215
CARMEL, IN 46032
Plastic Surgery
11725 N ILLINOIS ST, SUITE 245
CARMEL, IN 46032
Audiologist
11725 N ILLINOIS ST, STE 445
CARMEL, IN 46032
Internal Medicine (Hematology & Oncology)
11725 N ILLINOIS ST, SUITE, LL050
CARMEL, IN 46032
Anesthesiology (Pain Medicine)
11725 N ILLINOIS ST, STE. 447
CARMEL, IN 46032

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 Jesse Spear's NPI number?

The NPI number for Jesse Spear is 1447339684. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jesse Spear located?

Jesse Spear practices at 11725 N Illinois St Suite 595, Carmel, IN 46032. The listed phone number is (317) 688-5522.

What is Jesse Spear's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jesse Spear enrolled in Medicare?

Yes. Jesse Spear 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 Jesse Spear accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jesse Spear 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 Jesse Spear affiliated with any hospitals?

According to CMS data, Jesse Spear is affiliated with Indiana University Health and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Spear was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.