Joshua Lupine Spuhler, PA-C
NPI 1902176480ActiveIndividual· Physician Assistant· Bozeman, MT
Physician Assistant (PA-C) with Alpine Orthopedics and Sports Medicine, practicing in Bozeman, Montana. 39 Medicare patients in 2024, $6,033 paid; nearly all of their 160 Part D prescriptions were generic (98%). Heron Therapeutics, Inc. reported $38.32 in payments in 2025, mostly food and beverage. Lists Bozeman Health Deaconess Hospital as a hospital affiliation.
Overview
| NPI | 1902176480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 30, 2011 |
| Last updated in NPPES | Dec 7, 2020 |
| Certified by provider | Dec 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 666 | MT |
| Physician Assistant | 363A00000X | PA60344927 | WA |
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 | 39 |
|---|---|
| Services billed | 88 across 25 procedure codes |
| Paid by Medicare | $6,033 |
Part D prescriptions in 2024
| Prescriptions (claims) | 160 · 160 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $2,017 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Alpine Orthopedics and Sports MedicineBozeman, MT · 10 clinicians
Hospital affiliation
- Bozeman Health Deaconess HospitalBozeman, MT
Industry payments (Open Payments)
- 2025$38.32 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Heron Therapeutics, Inc. | $38.32 | 2 |
What the 2025 payments were for
- Food and Beverage$38.32 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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