MR. DOUGLAS J SPEAR MA CCC A
NPI 1649257817
Audiologist in Louisville, KY

Active since December 28, 2005Accepts Medicare Assignment
53.1/100
CMS Quality Rating
117 E KENTUCKY ST, LOUISVILLE, KY 40203(502) 584-3573 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Douglas J Spear Ma Ccc A NPPES

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

MR. DOUGLAS J SPEAR MA CCC A (NPI 1649257817) is an individual audiologist in Louisville, Kentucky, licensed in Kentucky (100064) and active in the NPI registry since December 2005. He maintains a secondary practice location in Lexington and is a graduate of Other (1987).

NPPES Registry Identity

NPI1649257817
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameMR. DOUGLAS J SPEARCredential: MA CCC A
Location Address117 E KENTUCKY STLouisville, KY 40203-2793
Mailing Address320 Lindenhurst Dr Apt 12202Lexington, KY 40509-1379 · (859) 608-3757
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 28, 2005
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1649257817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses Licensed in KY · 100064 Licensed in KY · 0154
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedHearing Instrument SpecialistTaxonomy 237700000X · License 0496 (KY), 101441 (KY)
117 E KENTUCKY ST, Louisville, KY 40203

Secondary Practice Location 1

Location 1268 Southland Dr, Suite 100Lexington, KY 40503-1938 · Phone (859) 278-1109 · Fax (859) 406-1130

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

Mr. Douglas J Spear Ma Ccc A 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 ID1658423082
PECOS Enrollment IDI20091029000351

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.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
69 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40203 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
$52.76 typical visit price
range $52.76 – $162.27
Typical copayment $13.19 (range $13.19 – $40.56)
Most-billed visit code 99202
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

53.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.82
Promoting Interoperability21
Improvement Activities40

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.

Speech-Language Pathologist
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Specialist/Technologist
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Speech-Language Pathologist
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Clinic/Center (Multi-Specialty)
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Audiologist
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Developmental Therapist
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Specialist/Technologist
117 E KENTUCKY ST
LOUISVILLE, KY 40203
Developmental Therapist
117 E KENTUCKY ST
LOUISVILLE, KY 40203

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 Douglas Spear's NPI number?

The NPI number for Douglas Spear is 1649257817. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Douglas Spear located?

Douglas Spear practices at 117 E Kentucky St, Louisville, KY 40203. The listed phone number is (502) 584-3573.

What is Douglas Spear's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Douglas Spear enrolled in Medicare?

Yes. Douglas 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 Douglas Spear accept?

Health plans from CareSource list Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Spear was last updated on September 14, 2023. 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.