2026 NPPES data Acute Care Clinical Nurse Specialist NPI 1720388846 APRN-CNS, MS
Verify on CMS →

JULIE SPEARS, APRN-CNS, MS

Acute Care Clinical Nurse Specialist in TULSA, Oklahoma. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
364
Medicare Part D claims · 122 beneficiaries · Acute Care Clinical Nurse Specialist avg: 773
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.1858/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$1.4K
56 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JULIE SPEARS, APRN-CNS, MS reported a CMS MIPS final score of 91.1858/100 — above the 83.1 national average — and filed 364 Medicare Part D claims in 2023.

91.1858/100
MIPS score · +8 vs avg
364
Part D claims, 2023
80%
generic prescribing
$1.4K
industry payments (Sunshine Act)

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.

JULIE SPEARS, APRN-CNS, MS's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

What does the federal data show about JULIE SPEARS, APRN-CNS, MS?

High performer (top quartile)

NPI registry status

Active

Issued 10/22/2010

NPI 1720388846

Primary specialty

Acute Care Clinical Nurse Specialist

Niche

510 US NPIs in this specialty

Medicare Part D claims

364 53% vs specialty avg

2023 prescription claims

Specialty avg: 773

MIPS final score

91.1858/100 8.085800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Acute Care Clinical Nurse Specialist compares to other specialties among Oklahoma providers

Oklahoma providers

Acute Care Clinical Nurse Specialist share within Oklahoma

1. Acute Care Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Acute Care Clinical Nurse Specialist share within Oklahoma

Medicare quality performance — MIPS

JULIE SPEARS, APRN-CNS, MS's 2023 MIPS final score plotted against the Acute Care Clinical Nurse Specialist national average

High performer (top quartile)
MIPS Final Score
91.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Acute Care Clinical Nurse Specialist) — 91.1858/100 vs national avg 83.1

0%100%National avg83%91.2%
MIPS final score (Acute Care Clinical Nurse Specialist) — 91.1858/100 vs national avg 83.1

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).

JULIE SPEARS, APRN-CNS, MS appears in the CMS NPPES registry as a Acute Care Clinical Nurse Specialist provider holding APRN-CNS, MS credentials at 1810 E 15TH ST, TULSA, OK, 74104, with a listed phone of (918) 592-3700. NPI 1720388846 was issued on 10/22/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPEARS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 364 prescription claims written by this provider, covering 122 Medicare beneficiaries and totaling roughly $155K in drug spend, split 20% brand-name and 80% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.1858/100 for the 2023 performance year (Quality 79.2714), compared with the national average of 83.1.

Acute Care Clinical Nurse Specialist is a narrow specialty nationwide, with 510 enrolled providers across 47 states and an average of 773 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1810 E 15TH ST
TULSA, OK 74104

Provider Details

NPI 1720388846
Specialty Acute Care Clinical Nurse Specialist
Credentials APRN-CNS, MS
Gender Female
NPI Issued 10/22/2010

CMS Quality Score (MIPS)

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

91.1858
Final Score
Avg: 83.1
79.2714
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JULIE SPEARS, APRN-CNS, MS 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.

OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
TULSA, OK
STILLWATER MEDICAL CENTER AUTHORITY
STILLWATER, OK

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 JULIE SPEARS, APRN-CNS, MS. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Typical

JULIE SPEARS, APRN-CNS, MS — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 364 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

364
Total Claims
$155K
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
461
Total Day Supply
11,664
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$150K
Generic Drug Cost
$6K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
2.69
Gender Split
52% female / 48% male
Age Distribution
<65: 16, 65-74: 51, 75-84: 43, 85+: 12

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JULIE SPEARS, APRN-CNS, MS prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
39
Pantoprazole Sodium
31
Potassium Chloride
25
Ondansetron Odt
Ondansetron
17
Olanzapine
16
Exemestane
14
Eliquis
Apixaban
13
Mirtazapine
12
Prednisone
12
Xarelto
Rivaroxaban
12

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

Acute Care Clinical Nurse Specialist Overview

How JULIE SPEARS, APRN-CNS, MS fits within the Acute Care Clinical Nurse Specialist landscape nationally.

510
Acute Care Clinical Nurse Specialist Providers in US
47
States with Acute Care Clinical Nurse Specialist
773
Avg Claims per Provider

JULIE SPEARS, APRN-CNS, MS's 364 claims are below the specialty average of 773.

Nearby Acute Care Clinical Nurse Specialist Providers in Oklahoma

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

Compare Acute Care Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JULIE SPEARS, APRN-CNS, MS's specialty?
JULIE SPEARS, APRN-CNS, MS specializes in Acute Care Clinical Nurse Specialist and practices in TULSA, Oklahoma. Credentials: APRN-CNS, MS.
How much does JULIE SPEARS, APRN-CNS, MS prescribe under Medicare Part D?
In 2023, JULIE SPEARS, APRN-CNS, MS wrote 364 Medicare Part D claims totaling $155K in drug costs for 122 beneficiaries.
What is JULIE SPEARS, APRN-CNS, MS's Medicare quality score?
JULIE SPEARS, APRN-CNS, MS has a CMS MIPS Final Score of 91.1858/100 (Quality: 79.2714). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JULIE SPEARS, APRN-CNS, MS located?
JULIE SPEARS, APRN-CNS, MS is located at 1810 E 15TH ST, TULSA, OK, 74104. Phone: (918) 592-3700.
What is JULIE SPEARS, APRN-CNS, MS's NPI number?
JULIE SPEARS, APRN-CNS, MS's National Provider Identifier (NPI) is 1720388846, issued on 10/22/2010.
Does JULIE SPEARS, APRN-CNS, MS prescribe more brand-name or generic drugs?
JULIE SPEARS, APRN-CNS, MS's prescribing is 20% brand-name and 80% generic drugs by claim count, with $150K in brand drug costs.
How many Acute Care Clinical Nurse Specialist providers are there in the US?
There are 510 Acute Care Clinical Nurse Specialist providers across 47 states in the US. The average Acute Care Clinical Nurse Specialist provider writes 773 Medicare Part D claims per year.
What drugs does JULIE SPEARS, APRN-CNS, MS prescribe most often?
Based on 2023 Medicare Part D data, JULIE SPEARS, APRN-CNS, MS's most frequently prescribed drugs include Levothyroxine Sodium, Pantoprazole Sodium, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JULIE SPEARS, APRN-CNS, MS accept Medicare?
JULIE SPEARS, APRN-CNS, MS appears in CMS Medicare data with 364 Part D claims and 122 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JULIE SPEARS, APRN-CNS, MS's credentials?
JULIE SPEARS, APRN-CNS, MS's NPI is 1720388846 with credentials APRN-CNS, MS. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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