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DR. MICHELLE SPEARS M.D.
NPI 1649232968
Obstetrics & Gynecology in Corsicana, TX

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
400 HOSPITAL DR STE 210, CORSICANA, TX 75110(903) 641-4835(903) 641-4846 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michelle Spears M.d. NPPES

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

DR. MICHELLE SPEARS M.D. (NPI 1649232968) is an individual obstetrics & gynecology provider in Corsicana, Texas, licensed in Texas (L7194) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Navarro Regional Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1649232968
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHELLE SPEARSCredential: M.D.
Location Address400 HOSPITAL DR STE 210Corsicana, TX 75110-2489
Mailing Address400 Hospital Dr Ste 210Corsicana, TX 75110-2489 · (903) 641-4835 · Fax (903) 641-4846
Phone(903) 641-4835
Fax(903) 641-4846
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 3, 2006
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1649232968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · L7194
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 HOSPITAL DR STE 210, Corsicana, TX 75110
Open in Google Maps ↗

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 and accepts Medicare assignment

Dr. Michelle Spears M.d. 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 ID840358966
PECOS Enrollment IDI20081018000046
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.

Hospital Affiliations CMS Care Compare

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

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450447
Location3201 West Highway 22Corsicana, TX 75110 · Navarro County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75110 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
72%162 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
95%666 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%689 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 688 patients
89%689 patients4/55-star benchmark: 98%
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

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

AMY ANN NOLD PA-C
Physician Assistant
400 HOSPITAL DR STE 210
CORSICANA, TX 75110
Navarro County (903) 641-4835

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 Michelle Spears's NPI number?

The NPI number for Michelle Spears is 1649232968. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Michelle Spears located?

Michelle Spears practices at 400 Hospital Dr Ste 210, Corsicana, TX 75110. The listed phone number is (903) 641-4835.

What is Michelle Spears's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michelle Spears enrolled in Medicare?

Yes. Michelle 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 Michelle Spears accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Michelle 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 Michelle Spears affiliated with any hospitals?

According to CMS data, Michelle Spears is affiliated with Navarro Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Spears was last updated on September 11, 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.