2026 NPPES data Medical Physician Assistant NPI 1508020462 P.A.
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Elizabeth Spears, P.A.

Medical Physician Assistant in San Luis Obispo, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,694 in Medical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
50
Medicare Part D claims · 40 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
82.5/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$370.91
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Elizabeth Spears, P.A. reported a CMS MIPS final score of 82.5/100 - below the 83.5 national average - and filed 50 Medicare Part D claims in 2024.

82.5/100
MIPS score · -1 vs avg
50
Part D claims, 2024
$370.91
industry payments (Sunshine Act)
≥36th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Elizabeth Spears, P.A.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1508020462), first enumerated 07/10/2008.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 50 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 82.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $370.91 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Elizabeth Spears, P.A.'s individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1508020462 · Medical Physician Assistant

NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1508020462
  • ENUM-MID 2008
  • TAX-MID 41K Medical Physician
  • MIPS-INLINE 82.5/100
  • RX-TRACE 50
  • BOOK-LIGHT 3,489 in California
  • PHOTO-FINISH Kareem Anderson, PA-C · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Elizabeth Spears, P.A.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Elizabeth Spears, P.A. sits

This provider among medical physician assistant peers

Across the 7,147 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Elizabeth Spears, P.A. writes more Part D claims than 10% of them and scores higher on MIPS quality than 36% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 58Elizabeth Spears, P.A., Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 36
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Elizabeth Spears, P.A.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Elizabeth Spears, P.A.?

Near national average

NPI registry status

Active

Issued 07/10/2008

NPI 1508020462

Primary specialty

Medical Physician Assistant

Mid-sized

40,694 US NPIs in this specialty

Medicare Part D claims

50 96% vs specialty avg

2024 prescription claims

Specialty avg: 1,139

MIPS final score

82.5/100 1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in California

How Medical Physician Assistant compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Medical Physician Assistant0.4%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Elizabeth Spears, P.A.'s 2023 MIPS final score plotted against the Medical Physician Assistant national average

Near national average
MIPS Final Score
82.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%82.5%
MIPS final score (Medical Physician Assistant) - 82.5/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

862 MEINECKE AVE STE 100
San Luis Obispo, CA 93405

Provider Details

NPI 1508020462
Specialty Medical Physician Assistant
Credentials P.A.
Gender Female
NPI Issued 07/10/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.49
Final Score
Measured-score avg: 83.5
76.4622
Quality
71.0045
Cost
93
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Elizabeth Spears, P.A. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Central Coast Orthopedic Medical Group
San Luis Obispo, CA
David B. Hammer
Templeton, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Elizabeth Spears, P.A.. Source: openpaymentsdata.cms.gov.

Total received

$371

Largest payer

Smith+Nephew, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Elizabeth Spears, P.A.. To verify Elizabeth Spears, P.A.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

50
Total Claims
$266
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
522
Brand Drug Cost
$0
Generic Drug Cost
$266
Opioid Claims
40 (80.0% rate)

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
0.85
Gender Split
53% female / 48% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Tramadol Hcl
16
Oxycodone Hcl
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Medical Physician Assistant Overview

How Elizabeth Spears, P.A. fits within the Medical Physician Assistant landscape nationally.

40,694
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,139
Avg Claims per Provider

Elizabeth Spears, P.A.'s 50 claims are below the specialty average of 1,139.

Nationwide Medical Physician Assistant peers with similar MIPS or enrollment year

Two federal-record peer sets for Spears, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (82.5 here).

Same NPPES enumeration year (2008)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Medical Physician Assistant Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Spears.

One of 3,489 Medical Physician Assistant providers enrolled in California, 5 are shown here.

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is Elizabeth Spears, P.A.'s specialty?
Elizabeth Spears, P.A. specializes in Medical Physician Assistant and practices in San Luis Obispo, California. Credentials: P.A..
How much does Elizabeth Spears, P.A. prescribe under Medicare Part D?
In 2024, Elizabeth Spears, P.A. wrote 50 Medicare Part D claims totaling $266 in drug costs for 40 beneficiaries.
What is Elizabeth Spears, P.A.'s Medicare quality score?
Elizabeth Spears, P.A. has a CMS MIPS Final Score of 82.5/100 (Quality: 76.5, Cost: 71). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elizabeth Spears, P.A. located?
Elizabeth Spears, P.A. is located at 862 MEINECKE AVE STE 100, San Luis Obispo, CA, 93405. Phone: (805) 541-4600.
What is Elizabeth Spears, P.A.'s NPI number?
Elizabeth Spears, P.A.'s National Provider Identifier (NPI) is 1508020462, issued on 07/10/2008.
Does Elizabeth Spears, P.A. prescribe opioids?
Yes, Elizabeth Spears, P.A. had 40 opioid claims in 2024 with an opioid prescribing rate of 80.0%.
How many Medical Physician Assistant providers are there in the US?
There are 40,694 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,139 Medicare Part D claims per year.
What drugs does Elizabeth Spears, P.A. prescribe most often?
Based on 2024 Medicare Part D data, Elizabeth Spears, P.A.'s most frequently prescribed drugs include Tramadol Hcl, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elizabeth Spears, P.A. accept Medicare?
Elizabeth Spears, P.A. appears in CMS Medicare data with 50 Part D claims and 40 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elizabeth Spears, P.A.'s credentials?
Elizabeth Spears, P.A.'s NPI is 1508020462 with credentials P.A.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.