Individual provider Active NPI

Gregory Ryan Spears, D.O.

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1083768618
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-10608 Issued in AR
Practice address
601 SW Regional Airport Blvd
Bentonville, AR 72713-9256
Phone
(479) 553-2664
Fax
(479) 553-2536
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-10608 AR Primary

Addresses

Primary practice location

601 SW Regional Airport Blvd
Bentonville, AR 72713-9256

Mailing address

601 SW Regional Airport Blvd
Bentonville, AR 72713-9256
Phone (479) 553-2664

Other practice location 1

2150 Airpark Dr
Suite 201
Redding, CA 96001
Phone (530) 244-4034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greg.spears.1@2229.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829000545 AR Practitioner - Family Practice 4789762907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians

Practice addresses (Care Compare)

101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone (479) 795-0426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Nov 1, 2018 Accepting new patients
Northwest Physicians LLC CurrentSince Nov 1, 2018 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Dignity Health Past Accepting new patients

Locations

601 SW Regional Airport Blvd
Bentonville, AR 72713
Phone (479) 268-4447

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: greg.spears.1@2229.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1083768618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SW REGIONAL AIRPORT BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139256",
            "telephone_number": "479-553-2664",
            "fax_number": "479-553-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW REGIONAL AIRPORT BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139256",
            "telephone_number": "479-553-2664",
            "fax_number": "479-553-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Airpark Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "96001",
            "country_code": "US",
            "telephone_number": "530-244-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "GREGORY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-10608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greg.spears.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "601 SW Regional Airport Blvd",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727139256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.