NPPES file of Aug 9, 2026

Randy L. Spear, PAC

Medical Physician Assistant · Billings, MT

Randy L. Spear, PAC is a medical physician assistant with a practice address in Billings, Montana, and NPI 1740363712, issued on Oct 23, 2006. Check the license (Montana MED-PAC-LIC-23, as entered in NPPES) with the Montana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1740363712
Name
Randy L. Spear
Credential
PAC
Primary taxonomy
Medical Physician Assistant 363AM0700X
License numbers
MED-PAC-LIC-23 MT
23 MT
Self-reported in NPPES; status is on the state search
Practice location
801 N 29TH St, Billings, MT 59101
Phone
(406) 238-2500
Enumerated
Oct 23, 2006
Record last updated
Dec 14, 2021 (not updated in 5 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 801 N 29TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kylie Abeson, MD, MPHPediatrics Physician1699334987
  2. Juan Adams, M.D.Allergy & Immunology Physician1144512096
  3. Daniel AlmeStudent in an Organized Health Care Education/Training Program1477349165
  4. Luis Alvarez, MDClinical Cardiac Electrophysiology Physician1417951922
  5. Annalee Anderson, MA, CCC-SLPSpeech-Language Pathologist1083047088
  6. Bijan Andrade, DPMFoot & Ankle Surgery Podiatrist1891059556

Verify Randy L. Spear in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Montana board licenses this profession
    Search for license MED-PAC-LIC-23
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Montana license search

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The MIPS final score for 2023 (Medicare payment program): 94.3 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Randy L. Spear among 269 medical physician assistant records in Montana

Randy L. Spear, PAC is one of 269 medical physician assistant records with a practice address in Montana. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 63% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileNo · 72% of these records are
  • Record last updated2021 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Montana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

54 medical physician assistant records list a practice address in Billings

They are 54 of the 4,035 NPPES records with a practice address in Billings, and 269 medical physician assistant records in Montana.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Jessica Amsden, PACBillings, MT 591011053351411
  2. Kate Blakeslee, PABillings, MT 591011942530001
  3. Ari Greenberg, PACBillings, MT 591011841465267
  4. Beth Hamilton, PACBillings, MT 591011518069145
  5. Michael Hines, PACBillings, MT 591011205947397
  6. Trudy Koster, PABillings, MT 591011174546147
  7. Kristina Krieger, PA-CBillings, MT 591011225154313
  8. Jodee Macdonald Etchart, PA-CBillings, MT 591011568456044

Common questions

What is Randy L. Spear, PAC's NPI number?

Randy L. Spear, PAC's National Provider Identifier (NPI) is 1740363712, issued on Oct 23, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Randy L. Spear, PAC located?

The NPPES record lists a practice address at 801 N 29TH St, Billings, MT, 59101. Phone: (406) 238-2500. Providers update this record themselves, so call before visiting.

How can I verify Randy L. Spear, PAC's license?

NPPES lists Montana license number MED-PAC-LIC-23, as entered by the provider. Search the Montana board that licenses this profession; the NPPES record confirms identity only.

What is Randy L. Spear, PAC's MIPS final score?

The 2023 MIPS final score is 94.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.