Individual provider Active NPI

Robert Michael Spear, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
National Provider Identifier
1497783153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0102050216 Issued in VA
Practice address
1788 Republic Rd
Ste 200
Virginia Beach, VA 23454-4552
Phone
(757) 422-2966
Fax
(757) 422-4563
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0102050216 VA Primary

Addresses

Primary practice location

1788 Republic Rd
Ste 200
Virginia Beach, VA 23454-4552

Mailing address

1788 Republic Rd
Ste 200
Virginia Beach, VA 23454-4552
Phone (757) 422-2966

Other identifiers 5

IdentifierTypeStateIssuer
283118OtherVABLUE CROSS BLUE SHIELD
006801412MedicaidVA
11546841OtherTRICARE
2300227OtherUNITED HEALTH CARE
690567YMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100512000253 VA Practitioner - Physical Medicine and Rehabilitation 3173535556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Virginia Spine and Pain Center LLCGroup PAC ID 4880931070, 8 clinicians

Practice addresses (Care Compare)

4525 S Blvd
Suite 200
Virginia Beach, VA 23452-1147
Phone (757) 227-3820

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102050216VAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Virginia Spine and Pain Center LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

4525 South Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 227-3820

Interoperability endpoints

  • Direct secure messaging: rspear@covaspineandpain.ssdirect.aprima.com

Organizations & group practices 1

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497783153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 REPUBLIC RD",
            "address_2": "STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544552",
            "telephone_number": "757-422-2966",
            "fax_number": "757-422-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 REPUBLIC RD",
            "address_2": "STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544552",
            "telephone_number": "757-422-2966",
            "fax_number": "757-422-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAR",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0102050216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "283118",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006801412",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "11546841",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2300227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690567Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.