THOMAS E. SPEARS MD
NPI 1700883667
Urology in Huntington Station, NY

Active since July 06, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
180 E PULASKI RD, HUNTINGTON STATION, NY 11746(631) 425-2121(631) 425-2193 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas E. Spears Md NPPES

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

THOMAS E. SPEARS MD (NPI 1700883667) is an individual urology provider in Huntington Station, New York, licensed in New York (180724-1) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1700883667
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTHOMAS E. SPEARSCredential: MD
Location Address180 E PULASKI RDHuntington Station, NY 11746-1915
Mailing Address180 E Pulaski RdHuntington Station, NY 11746-1915 · (631) 425-2121 · Fax (631) 425-2193
Fax(631) 425-2193
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateJuly 6, 2005
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1700883667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 180724-1
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
180 E PULASKI RD, Huntington Station, NY 11746

Other Identifiers 1

Medicaid01438866NY

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

Thomas E. Spears 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 ID1557317690
PECOS Enrollment IDI20050322001062
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 11

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.
766 services527 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.
169 services138 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.
119 services119 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
101 services87 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
71 services60 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.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11746 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Pediatrics
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Ophthalmology
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Midwife
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Nurse Practitioner (Adult Health)
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Internal Medicine
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Nurse Practitioner (Pediatrics)
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Physician Assistant
180 E PULASKI RD
HUNTINGTON STATION, NY 11746
Nurse Practitioner (Family)
180 E PULASKI RD
HUNTINGTON STATION, NY 11746

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 Thomas Spears's NPI number?

The NPI number for Thomas Spears is 1700883667. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Thomas Spears located?

Thomas Spears practices at 180 E Pulaski Rd, Huntington Station, NY 11746. The listed phone number is (631) 425-2121.

What is Thomas Spears's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Spears enrolled in Medicare?

Yes. Thomas 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.

Is Thomas Spears affiliated with any hospitals?

According to CMS data, Thomas Spears is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Thomas Spears was last updated on April 2, 2021. 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.