Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LARA HEATHER SPENCE MD
NPI 1942505045
Surgery in San Diego, CA

Active since January 20, 2011PECOS Enrolled
COMNAVSURFPAC 2841 RENDOVA RD, SAN DIEGO, CA 92155(619) 545-7473 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2025, Aug 6, 2024, Aug 5, 2021 (3 updates tracked since 2021).

About Lara Heather Spence Md NPPES

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

LARA HEATHER SPENCE MD (NPI 1942505045) is an individual surgery provider in San Diego, California, licensed in California (A133366) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (2013).

NPPES Registry Identity

NPI1942505045
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameLARA HEATHER SPENCECredential: MD
Location AddressCOMNAVSURFPAC 2841 RENDOVA RDSan Diego, CA 92155-2004
Mailing AddressComnavsurfpac, 2841 Rendova Rd, San Diego, CaSan Diego, CA 92155-5490
Sole ProprietorYes
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2013
Enumeration DateJanuary 20, 2011
Last NPPES UpdateOctober 20, 20263 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1942505045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A133366
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License A133366 (CA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License A133366 (CA)
COMNAVSURFPAC 2841 RENDOVA RD, San Diego, CA 92155

Other Names 1

Former Name (1)Lara Heather Driggers Md

Secondary Practice Locations 2

Location 1101 The City Dr SOrange, CA 92868-3201 · Phone (714) 456-8008
Location 234800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-6400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara Heather Spence 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 ID7517235435
PECOS Enrollment IDI20170619001318
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.

Medicare Billing Reassignment

Medicare enrollment records show Lara Spence reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 248 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92155 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Pulmonary Disease)
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155
General Practice
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155
Internal Medicine
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155
Psychiatry & Neurology (Psychiatry)
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155
Internal Medicine
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155
Dentist
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155
Internal Medicine
COMNAVSURFPAC 2841 RENDOVA RD
SAN DIEGO, CA 92155

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 Lara Spence's NPI number?

The NPI number for Lara Spence is 1942505045. It was assigned to this individual provider in the NPPES registry on January 20, 2011. The provider is also known as Lara Heather Driggers MD.

Where is Lara Spence located?

Lara Spence practices at Comnavsurfpac 2841 Rendova Rd, San Diego, CA 92155. The listed phone number is (619) 545-7473.

What is Lara Spence's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lara Spence enrolled in Medicare?

Yes. Lara Spence 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.

Which organization bills Medicare for Lara Spence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Spence reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lara Spence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lara Spence was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.