2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1497783153 DO
Verify on CMS →

Robert Spear, DO

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Virginia Beach, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) Physician, 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
291
Medicare Part D claims · 81 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
75.2/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$564.98
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Robert Spear, DO reported a CMS MIPS final score of 75.2/100 - below the 83.5 national average - and filed 291 Medicare Part D claims in 2023.

75.2/100
MIPS score · -8 vs avg
291
Part D claims, 2023
Likely
board-certified (heuristic)
≥15th
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 Robert Spear, DO

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 1497783153), first enumerated 06/29/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 291 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 75.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

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

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $564.98 in reported industry payments (26 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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 1497783153 · Pain Medicine (Physical Medicine & Rehabilitation) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1497783153
  • ENUM-LEGACY 2006
  • TAX-NARROW 1,630
  • MIPS-BELOW 75.2/100
  • RX-LIGHT 291
  • BOOK-THIN 36 in Virginia
  • PHOTO-FINISH David Spight · ±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

Robert Spear, DO'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.

75 ≥ 15th percentile 15% 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%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 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 Robert Spear, DO sits

This provider among pain medicine (physical medicine & rehabilitation) physician peers

Across the 430 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Spear, DO writes more Part D claims than 27% of them and scores higher on MIPS quality than 34% - 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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Robert Spear, DO, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 34
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Robert Spear, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Robert Spear, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Robert Spear, DO?

Below national average

NPI registry status

Active

Issued 06/29/2006

NPI 1497783153

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,630 US NPIs in this specialty

Medicare Part D claims

291 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

75.2/100 8.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Virginia

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.2%Clinical Social Worker5.1%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.5%Professional Counselor4%Pain Medicine (Physical Medi…0%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Robert Spear, DO's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
75.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%75.2%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 75.2/100 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

1788 REPUBLIC RD
Virginia Beach, VA 23454

Provider Details

NPI 1497783153
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials DO
Gender Male
NPI Issued 06/29/2006

CMS Quality Score (MIPS)

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

75.2002
Final Score
Measured-score avg: 83.5
50.4004
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where Robert Spear, DO 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.

Coastal Virginia Spine And Pain Center LLC
Virginia Beach, VA

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 Robert Spear, DO. Source: openpaymentsdata.cms.gov.

Total received

$565

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

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

291
Total Claims
$7K
Total Drug Cost
81
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
356
Total Day Supply
9,192
Brand Drug Cost
$0
Generic Drug Cost
$7K
Opioid Claims
113 (38.8% rate)

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.78
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What Robert Spear, DO 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
Tizanidine Hcl
50
Tramadol Hcl
48
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
42
Gabapentin
28
Levetiracetam
22
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
18
Duloxetine Hcl
16
Celecoxib
13

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How Robert Spear, DO fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

Robert Spear, DO's 291 claims are below the specialty average of 1,401.

Nationwide Pain Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75.2 here).

Same NPPES enumeration year (2006)

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

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Virginia

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

One of 36 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in Virginia, 5 are shown here.

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Robert Spear, DO's specialty?
Robert Spear, DO specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Virginia Beach, Virginia. Credentials: DO.
How much does Robert Spear, DO prescribe under Medicare Part D?
In 2023, Robert Spear, DO wrote 291 Medicare Part D claims totaling $7K in drug costs for 81 beneficiaries.
What is Robert Spear, DO's Medicare quality score?
Robert Spear, DO has a CMS MIPS Final Score of 75.2/100 (Quality: 50.4). 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 Robert Spear, DO located?
Robert Spear, DO is located at 1788 REPUBLIC RD, Virginia Beach, VA, 23454. Phone: (757) 422-2966.
What is Robert Spear, DO's NPI number?
Robert Spear, DO's National Provider Identifier (NPI) is 1497783153, issued on 06/29/2006.
Does Robert Spear, DO prescribe opioids?
Yes, Robert Spear, DO had 113 opioid claims in 2023 with an opioid prescribing rate of 38.8%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Robert Spear, DO prescribe most often?
Based on 2023 Medicare Part D data, Robert Spear, DO's most frequently prescribed drugs include Tizanidine Hcl, Tramadol Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Spear, DO accept Medicare?
Robert Spear, DO appears in CMS Medicare data with 291 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Spear, DO's credentials?
Robert Spear, DO's NPI is 1497783153 with credentials DO. 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 (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

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 May 2026.