Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tiffany Ann Spears

Nurse Practitioner โ€ข Chesapeake, OH

Active NPI 1245516251 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

717 3rd Ave
Chesapeake, OH 456191074

Call 7408676687 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

717 3rd Ave

Chesapeake, OH 456191074

Telephone 7408676687
Organization at the Same NPPES Address or Phone
Ironton & Lawrence County Area Community Action Organization Facility NPI 1215014113

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Huntington, WV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Ironton And Lawrence County Area Community Action Organization; St. Mary'S Himg, Llc. 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

Graduation Year

2011

Medicare patients

133 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $5,212 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.

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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,846 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2024.

30-day fills

10,212 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

$413,030 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $827.89 across 31 records.

By nature of payment

  • Food and Beverage: $827.89 across 31 records.

Reporting-company totals (3 largest of 9)

  • AstraZeneca Pharmaceuticals LP: $545.67 across 15 records.
  • Pfizer Inc.: $68.28 across 4 records.
  • Amgen Inc.: $56.34 across 3 records.

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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional 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

2011

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tiffany Spears 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tiffany Spears 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Chesapeake and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.

Too few clinicians listed under Nurse Practitioner in Chesapeake have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $14,983. Middle half: $6,723 to $30,403.

Too few clinicians listed under Nurse Practitioner in Chesapeake have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $11,287. Middle half: $4,812 to $22,230.

Too few clinicians listed under Nurse Practitioner in Chesapeake have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: 341. Middle half: 95 to 1,344.

Too few clinicians listed under Nurse Practitioner in Chesapeake have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: $17,171. Middle half: $1,153 to $140,965.

Too few clinicians listed under Nurse Practitioner in Chesapeake have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Nurse Practitioner with a practice address in Chesapeake, OH (4,257 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 31 records totaling $827.89.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $125.00
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $124.97
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $60.25
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $48.36
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $22.42
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $22.16
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $21.43
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $21.10
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $20.29
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $20.00
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $18.53
Pfizer Inc.
Food and Beverage
In-kind items and services
NURTEC ODT General $17.91
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $17.90
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $17.24
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $17.10
Pfizer Inc.
Food and Beverage
In-kind items and services
NURTEC ODT General $16.81
Novo Nordisk Inc
Food and Beverage
In-kind items and services
โ€” General $16.76
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $16.71
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $16.71
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $16.57
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $16.56
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $16.36
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $16.24
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BREZTRI General $16.04
HOLOGIC INC
Food and Beverage
In-kind items and services
APTIMA General $15.89

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
93 92 $102.80 $53.18
83036 Hemoglobin a1c level
28 22 $58.00 $9.52

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 255 18,705 $1,420.97 82
Levothyroxine Sodium Levothyroxine Sodium 244 18,160 $1,907.65 67
Lisinopril Lisinopril 240 19,469 $854.52 77
Gabapentin Gabapentin 199 7,667 $1,860.90 44
Albuterol Sulfate Hfa Albuterol Sulfate 197 6,528 $5,138.37 44
Omeprazole Omeprazole 173 13,922 $1,586.90 56
Metformin Hcl Metformin Hcl 142 9,892 $495.47 37
Prednisone Prednisone 118 591 $107.94 106
Metoprolol Succinate Metoprolol Succinate 110 8,289 $1,101.91 34
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 103 845 $720.68 89
Simvastatin Simvastatin 94 6,989 $627.37 27
Hydrochlorothiazide Hydrochlorothiazide 89 7,660 $263.47 31
Fluoxetine Hcl Fluoxetine Hcl 86 5,748 $340.12 19
Amlodipine Besylate Amlodipine Besylate 82 6,420 $401.80 32
Losartan Potassium Losartan Potassium 79 6,280 $617.92 29
Furosemide Furosemide 74 5,874 $235.21 30
Diclofenac Sodium Diclofenac Sodium 72 3,285 $1,898.47 18
Pantoprazole Sodium Pantoprazole Sodium 72 4,367 $929.65 21
Rosuvastatin Calcium Rosuvastatin Calcium 68 5,708 $754.08 24
Sertraline Hcl Sertraline Hcl 67 3,914 $405.58 22
Meloxicam Meloxicam 66 4,246 $261.18 20
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 65 2,287 $390.46 25
Potassium Chloride Potassium Chloride 65 4,951 $844.38 23
Metoprolol Tartrate Metoprolol Tartrate 62 4,339 $381.18 23
Doxycycline Hyclate Doxycycline Hyclate 61 594 $298.97 54

(top 25 shown)

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: 2025-04-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH APRN.CNP.021585

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OH RN.369891

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES SD R040765

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES SD CP000667

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0245847 (OH)
Medicaid ID
1245516251 (WV)
Medicaid ID
7100481750 (KY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230401000076

Enrollment State Jurisdiction

WV

PECOS Control ID

6901073972

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Ironton And Lawrence County Area Community Action Organization

305 N 5th St, Ironton, OH 456381578

St. Mary's Himg, Llc

3075 Us Route 60, Huntington, WV 257058859

Phone: 3045284600

Ironton And Lawrence County Area Community Action Organization

1408 Campbell Dr, Ironton, OH 456382301

Phone: 7405349195

Ironton And Lawrence County Area Community Action Organization

1408 Campbell Dr, Ironton, OH 456382301

Phone: 7405349195

St. Mary's Himg, Llc

147 Willow Tree Way, Hurricane, WV 255261085

Phone: 3046976000

Ironton And Lawrence County Area Community Action Organization

120 N 3rd St, Ironton, OH 456381574

Phone: 7405327855

Secondary Practice Locations

3075 Us Route 60 Ste A105

Huntington, WV 257058859

Phone: 3045284600

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Janelle Fitzgerald-Kratzenberg , APRN, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1669957569

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2025

Registered Nurse (license number reported to NPPES: OH RN.369891)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Registered Nurse (license number reported to NPPES: SD R040765)

โœ…
NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 29, 2018

Registered at 717 3RD AVE, CHESAPEAKE, OH 456191074 (Tel: 7408676687)

๐Ÿ“
Updated Business Mailing Address January 29, 2018

Registered at 305 N 5TH ST, IRONTON, OH 456381578 (Tel: 7405324858)

๐Ÿ‘ค
Provider Name / Credentials Updated January 29, 2018

Recorded as TIFFANY SPEARS

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Registered Nurse (license number reported to NPPES: OH RN.369891)

๐Ÿ“
Updated Business Mailing Address November 15, 2017

Registered at 305 N 5TH ST, IRONTON, OH 456381578 (Tel: 7405324858)

๐Ÿ“
Updated Practice Location November 01, 2017

Registered at 717 3RD AVE, CHESAPEAKE, OH 456191074 (Tel: 7408676687)

๐Ÿ“
Updated Business Mailing Address November 01, 2017

Registered at 717 3RD AVE, CHESAPEAKE, OH 456191074 (Tel: 7408676687)

โœ…
NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 06, 2017

Registered at 109 PUGH ST, MARTIN, SD 575517700 (Tel: 6056856868)

๐Ÿ“
Business Mailing Address (Initial Record) January 06, 2017

Registered at 109 PUGH ST, MARTIN, SD 575517700 (Tel: 6056856868)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 06, 2017

Recorded as TIFFANY SPEARS

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Registered Nurse (license number reported to NPPES: SD R040765)

๐ŸŸข
Initial NPI Registration & Enumeration October 24, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245516251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2011
Last Update: April 23, 2025
Sole Proprietor: Yes

Mailing Address

305 N 5th St

Ironton, OH 456381578

Phone: 7405324858

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.