DR. KENNETH A. SPEARMAN MD
NPI 1912107772
Radiology - Vascular & Interventional Radiology in Arroyo Grande, CA

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
89.06/100
CMS Quality Rating
880 OAK PARK BLVD STE 201, ARROYO GRANDE, CA 93420(805) 473-8346(805) 473-2158 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth A. Spearman Md NPPES

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

DR. KENNETH A. SPEARMAN MD (NPI 1912107772) is an individual vascular & interventional radiology provider in Arroyo Grande, California, licensed in California (A121386) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2005).

NPPES Registry Identity

NPI1912107772
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. KENNETH A. SPEARMANCredential: MD
Location Address880 OAK PARK BLVD STE 201Arroyo Grande, CA 93420-1821
Mailing Address880 Oak Park Blvd Ste 201Arroyo Grande, CA 93420-1821 · (805) 473-8346 · Fax (805) 473-2158
Fax(805) 473-2158
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2005
Enumeration DateJuly 20, 2007
Last NPPES UpdateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1912107772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in CA · A121386
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 246442 (MA)
880 OAK PARK BLVD STE 201, Arroyo Grande, CA 93420

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. Kenneth A. Spearman 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 ID42488389
PECOS Enrollment IDI20120718000934
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 29

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
698 services544 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
552 services63 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
435 services192 patients
Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
320 services144 patients
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.
320 services205 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.
308 services308 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

89.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.65
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%26 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,118 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%875 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 141 patients
100%141 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 137 patients
100%137 patients
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
71%271 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier29 claims29 services$748.68 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier15 claims29 services$312.41 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, half leg E0669
DME-Other DME · category DE000N
1 supplier14 claims27 services$177.76 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 2

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

Physician Assistant (Surgical)
880 OAK PARK BLVD STE 201
ARROYO GRANDE, CA 93420
Nurse Practitioner (Primary Care)
880 OAK PARK BLVD STE 201
ARROYO GRANDE, CA 93420

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 Kenneth Spearman's NPI number?

The NPI number for Kenneth Spearman is 1912107772. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Kenneth Spearman located?

Kenneth Spearman practices at 880 Oak Park Blvd Ste 201, Arroyo Grande, CA 93420. The listed phone number is (805) 473-8346.

What is Kenneth Spearman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Kenneth Spearman enrolled in Medicare?

Yes. Kenneth Spearman 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.

When was this NPI record last updated?

The NPPES record for Kenneth Spearman was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.