Shane Spears, PA-C, CCP
NPI 1336119916 · Surgical Physician Assistant · Tyler, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Spears, PA-C, CCP is a Surgical Physician Assistant provider in Tyler, TX (NPI 1336119916).
Provider details
- NPI number
- 1336119916
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, CCP
- Sex
- Male
- Sole proprietor
- No
- License
- PA10004751 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 15 | — |
| Furosemide | 14 | 14 |
| Tramadol Hcl | 12 | 12 |
| Oxycodone Hcl | 12 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Frequently asked questions
- What is Shane Spears's NPI number?
- Shane Spears's National Provider Identifier (NPI) is 1336119916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Spears's specialty?
- Shane Spears is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Spears located?
- Shane Spears's practice location on file with NPPES is 1000 S Beckham Ave, Tyler, TX 75701-1908.
- What is Shane Spears's phone number?
- The practice phone number listed in the NPPES registry for Shane Spears is (903) 590-5611.
- Does Shane Spears accept Medicare?
- Shane Spears is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Spears's NPI active?
- Yes — Shane Spears's NPI (1336119916) is active in the NPPES registry as of the last update on 2023-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.