Alira N. Spring, PA-C
NPI 1538584958ActiveIndividual· Physician Assistant, Medical· Missoula, MT
Physician Assistant, Medical (PA-C) with Forefront Dermatology SC, practicing in Missoula, Montana. Their prescriptions cost Medicare Part D more than their services did: $514,178 for 463 claims, against $109,454 paid for services in 2024. Abbvie Inc. was the largest of 8 companies reporting payments in 2025, $659.13 in all, mostly food and beverage. Lists Community Medical Center as a hospital affiliation.
Overview
| NPI | 1538584958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 21, 2014 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | MED-PAC-LIC-300061 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 821 |
|---|---|
| Services billed | 3,539 across 41 procedure codes |
| Paid by Medicare | $109,454 |
Part D prescriptions in 2024
| Prescriptions (claims) | 463 · 543 30-day fills |
|---|---|
| Patients | 201 |
| Total drug cost | $514,178 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Forefront Dermatology SCSouthlake, TX · 662 clinicians
Hospital affiliation
- Community Medical CenterMissoula, MT
Industry payments (Open Payments)
- 2025$659.13 · 32 payments from 8 companies
- 2024$274.75 · 10 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $251.91 | 12 |
| Janssen Biotech, Inc. | $190.57 | 7 |
| Ucb, Inc. | $59.51 | 3 |
| Leo Pharma Inc. | $55.89 | 3 |
| Amgen Inc. | $48.19 | 3 |
What the 2025 payments were for
- Food and Beverage$559.14 · 31 payments
- Education$99.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 physician assistants in Missoula · All physician assistants in Montana