Dr. Julia Rene Spear , DO
Hospitalist • Naples, FL
350 7th St N
Naples, FL 341025754
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 10, 2017; this date does not establish years in practice.
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Published CMS data list 628 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 328 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 94 service units.
- 99238 — Hospital discharge day management: 93 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 182 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 21 prescription fills, including refills.
- Pantoprazole Sodium — 21 prescription fills, including refills.
- Furosemide — 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Hospitalist in Naples, FL (2024, 55 clinicians with data). Median for this group: 799. Middle half: 515 to 1,082.
Close to the middle for Medicare Part B services among clinicians listed under Hospitalist in Florida (2024, 1,440 clinicians with data). Median for this group: 584. Middle half: 329 to 909.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 365 in 2020 to 628 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
350 7th St N
Naples, FL 341025754
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Houston County Healthcare Authority. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Nova Southeastern College Of Osteo Medicine
2017
What Public CMS Data Show
Hospitalist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
228 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $65,226 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $51,080 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
194 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$8,213 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $149.89 across 8 records.
By nature of payment
- Food and Beverage: $149.89 across 8 records.
Reporting-company totals (3 largest of 6)
- Novartis Pharmaceuticals Corporation: $61.18 across 3 records.
- ZOLL Services LLC (A/K/A ZOLL LifeCor Corp): $21.79 across 1 record.
- Pfizer Inc.: $17.42 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Spear has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Spear as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Naples and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Hospitalist in Naples, FL (2024, 55 clinicians with data). Median for this group: 799. Middle half: 515 to 1,082.
Close to the middle for clinicians listed under Hospitalist in Florida (2024, 1,440 clinicians with data). Median for this group: 584. Middle half: 329 to 909.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Hospitalist in Naples, FL (2024, 55 clinicians with data). Median for this group: $88,460. Middle half: $62,749 to $115,245.
Close to the middle for clinicians listed under Hospitalist in Florida (2024, 1,440 clinicians with data). Median for this group: $61,629. Middle half: $37,346 to $92,445.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Hospitalist in Naples, FL (2024, 55 clinicians with data). Median for this group: $69,905. Middle half: $48,706 to $90,754.
Close to the middle for clinicians listed under Hospitalist in Florida (2024, 1,440 clinicians with data). Median for this group: $48,306. Middle half: $29,016 to $72,404.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Hospitalist in Naples, FL (2024, 43 clinicians with data). Median for this group: 166. Middle half: 73 to 287.
Close to the middle for clinicians listed under Hospitalist in Florida (2024, 1,116 clinicians with data). Median for this group: 151. Middle half: 62 to 299.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Hospitalist in Naples, FL (2024, 43 clinicians with data). Median for this group: $11,242. Middle half: $4,519 to $24,525.
Close to the middle for clinicians listed under Hospitalist in Florida (2024, 1,116 clinicians with data). Median for this group: $8,502. Middle half: $668 to $15,816.
60 active clinicians are listed under Hospitalist with a practice address in Naples, FL (1,823 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Naples
0% of these 60 clinicians have the CMS telehealth indicator.
91.7% of these 60 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 72% from 365 in 2020 to 628 in 2024.
- 2020: 365
- 2021: 641
- 2022: 1,173
- 2023: 713
- 2024: 628
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Medicare-allowed amount
Medicare-allowed amount increased 52% from $43,042 in 2020 to $65,226 in 2024.
- 2020: $43,042
- 2021: $70,174
- 2022: $110,076
- 2023: $81,220
- 2024: $65,226
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Paid by Medicare
Paid by Medicare increased 48% from $34,434 in 2020 to $51,080 in 2024.
- 2020: $34,434
- 2021: $54,642
- 2022: $87,877
- 2023: $64,392
- 2024: $51,080
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 11 in 2020 to 182 in 2024.
- 2020: 11
- 2021: 11
- 2022: 227
- 2023: 391
- 2024: 182
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30-day fills
30-day fills went from 13 in 2020 to 194 in 2024.
- 2020: 13
- 2021: 11
- 2022: 243
- 2023: 409
- 2024: 194
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Part D drug cost
Part D drug cost went from $120 in 2020 to $8,213 in 2024.
- 2020: $120
- 2021: $5,709
- 2022: $9,631
- 2023: $18,001
- 2024: $8,213
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $43.62 in 2023 to $149.89 in 2024.
- 2023: $43.62
- 2024: $149.89
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $149.89.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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ENTRESTO | General | $23.38 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $21.79 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $20.70 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $17.42 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $17.10 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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VERQUVO | General | $17.02 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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XARELTO | General | $16.82 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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COLLAGENASE SANTYL | General | $15.66 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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328 | 103 | $280.00 | $108.86 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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94 | 50 | $185.00 | $73.42 |
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99238
Hospital discharge day management, 30 minutes or less
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93 | 90 | $190.00 | $74.59 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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58 | 55 | $480.00 | $159.60 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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36 | 36 | $330.00 | $122.16 |
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99239
Hospital discharge day management, more than 30 minutes
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19 | 19 | $270.00 | $106.66 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 21 | 77 | $136.68 | 21 |
| Pantoprazole Sodium | Pantoprazole Sodium | 21 | 630 | $150.90 | 15 |
| Furosemide | Furosemide | 19 | 563 | $117.60 | 11 |
| Atorvastatin Calcium | Atorvastatin Calcium | 18 | 660 | $64.18 | 16 |
| Levofloxacin | Levofloxacin | 16 | 82 | $60.41 | 16 |
| Amlodipine Besylate | Amlodipine Besylate | 16 | 540 | $66.56 | 13 |
| Eliquis | Apixaban | 13 | 372 | $7,121.32 | 12 |
| Cefdinir | Cefdinir | 13 | 79 | $169.43 | 13 |
| Meclizine Hcl | Meclizine Hcl | 12 | 118 | $67.86 | — |
| Prednisone | Prednisone | 11 | 89 | $25.53 | 11 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 11 | 50 | $150.54 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 11 | 450 | $82.23 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-01-09NUCC Taxonomy Code: 208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20211103003230
AL
0446522387
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Houston County Healthcare Authority
1108 Ross Clark Cir, Dothan, AL 363013022
Phone: 3347938087
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Osteopathic Medicine (D.O.)
Hospitalist
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 303 STONEGATE DR, DOTHAN, AL 363051063
Recorded as JULIA SPEAR, DO
Registered at PO BOX 8569, NAPLES, FL 341018569
NPI status registered as active in NPPES database
Registered at 350 7TH ST N, NAPLES, FL 341025754 (Tel: 2396240030)
Registered at 851 5TH AVE N STE 306, NAPLES, FL 341025582
Recorded as JULIA SKETTINI, DO
Internal Medicine (license number reported to NPPES: FL UO5447)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Hospitalists in Naples
- Dr. Gul Nawaz, MD
- Dr. Courtney Justmann, MD
- Dr. Ayanna Ahing, DO
- Dr. Emerson Bookal, MD
- Dr. Christopher Bertely, MD
- Dr. Tania Espinal-Krane, DO
Mailing Address
303 Stonegate Dr
Dothan, AL 363051063