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Hannah Reusch Spero, NP

Nurse Practitioner · Sacramento

NPI 1740686187

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
7 years
Emory University School of Medicine, 2019

Offices

1 location · Regents of the Univ of CA · 1,571 clinicians in this group

Looking this up.

Hospitals listed: University of California Davis Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Hannah Reusch Spero’s office at (916) 734-2657 to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • University of California Davis Medical CenterSacramento, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UC Davis Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Abdominopelvic accidental puncture or laceration rate: 1.94 (1.18 to 2.71) · 3,010 cases, Jul 2022 – Jun 2024Worse than the national rate — MRSA Bacteremia: 1.564, Oct 2024 – Sep 2025Worse than the national rate — Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy: 6.7 (5.6 to 8) · 1,134 cases, Jan 2024 – Dec 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.6 (10.9 to 14.5) · 1,134 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 127.46 (95.81 to 159.1) · 281 cases, Jul 2022 – Jun 2024Better than the national rate — Pressure ulcer rate: 0.18 (0 to 0.57) · 12,625 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.677, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.713, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,436 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for University of California Davis Medical Center

Behind the star rating — Deaths: 4 better, 4 the same, 0 worse of 8 measures. Safety: 0 better, 7 the same, 1 worse of 8 measures. Readmissions: 0 better, 9 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at University of California Davis Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.94 (1.18 to 2.71) · 3,010 casesWorseJul 2022 – Jun 2024
MRSA BacteremiaInfections1.564WorseOct 2024 – Sep 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.7 (5.6 to 8) · 1,134 casesWorseJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (10.9 to 14.5) · 1,134 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths127.46 (95.81 to 159.1) · 281 casesBetterJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.18 (0 to 0.57) · 12,625 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.677BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.713BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,436 casesBetterJan 2024 – Dec 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.98 (0.78 to 1.19)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.2 · 82 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 165 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.2 · 115 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.7 · 662 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.1 · 463 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 406 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 4,328 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.05 to 0.39) · 13,828 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.3 (0.13 to 0.46) · 14,152 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.29 (2.92 to 5.66) · 4,920 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.78 (0.46 to 3.09) · 2,250 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.07 (1.06 to 3.09) · 4,696 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.46 (5.18 to 13.75) · 2,102 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.35 (3.74 to 8.96) · 2,191 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.48 (1.19 to 3.77) · 1,169 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.3 · 127 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.826No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.899No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.669No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 131 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.2 · 751 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-25.8 · 127 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits24.1 · 758 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits23.6 · 477 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.6 · 469 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 140 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 65 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.3 · 203 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.8 (9.4 to 14.9) · 2,643 casesNo differentJan 2022 – Dec 2024

What patients said (2,768 patients answered, 18% of those asked)

Patient survey stars by topic at University of California Davis Medical Center
Cleanliness2
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at University of California Davis Medical Center
Room was "always" clean61%
Nurses "always" communicated well76%
Doctors "always" communicated well78%
Staff "always" explained60%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$11,735

Medicare paid this office $11,735 for 134 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes29$3,421$118
Hospital discharge day management, more than 30 minutes42$3,115$74
Emergency department visit with moderate level of medical decision making26$1,939$69
Emergency department visit with low level of medical decision making11$521$43
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th11$250$21

Who their Medicare patients are

134 Original Medicare patients in 2024. Average age 70 · Under 65 21% · 85 and older 12% · Women 53% · Also on Medicaid 52% · Health risk score 1.90. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 74% · Depression 34% · Diabetes 33% · Chronic kidney disease 33% · Coronary heart disease 28% · Heart failure 27% · COPD 23% · Atrial fibrillation 22% · Cancer 21% · Stroke 21% · Dementia 11%.

The office billed $84,897, Medicare allowed $15,533 and paid $11,735; for 153 services of 13 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024134153701.90$84,897$11,735
2023134155701.82$77,573$11,876
2022162172712.32$57,887$12,952
20218384762.61$23,889$5,505

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes28$3,497$125
Hospital discharge day management, more than 30 minutes36$2,890$80
Emergency department visit with low level of medical decision making22$1,157$46
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,010$92
Emergency department visit with moderate level of medical decision making15$1,008$67
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th11$238$22

2022: 3 services

Original Medicare services billed in 2022
Hospital observation care on day of discharge102$5,757$55
Initial hospital observation care per day, typically 70 minutes26$3,506$135
Initial hospital observation care per day, typically 50 minutes16$1,546$97

2021: 1 service

Original Medicare services billed in 2021
Hospital observation care on day of discharge55$2,875$52

Drugs they prescribed that Part D paid

$11,945

Pharmacies billed $11,945 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 8% of their Part D prescriptions (12 of 145) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

124 generic and fewer than 11 brand-name prescriptions · $11,945 in drug cost · 18 antibiotic prescriptions to 16 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Oxycodone11$18$2

Year by year

Part D prescribing by year
2024145658% (12)None$11,945
20231176910% (12)None$11,601
2022956013% (12)None$6,664
20215838NoneNone$2,555

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin12$77$6

Money from drug and device companies

$16 in 2023

A payment is not proof that care is biased.

Payments by company
AstraZeneca Pharmaceuticals LPNone$16
1 payment
  • Meals · 2023-07-26 · $16
See the published payment
Every published payment
AstraZeneca Pharmaceuticals LPMeals · 2023-07-26None$16

Professional record

NPI
1740686187
Licence
CA 00909588, CA 95200724
Trained
Emory University School of Medicine, 2019 · 7 years ago
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X); Federal specialty code 363LA2200X (363LA2200X); Federal specialty code 376K00000X (376K00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2014-11-12
NPI last updated
2026-05-18
NPI record certified
2026-05-18

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 10 Lark Ct, Larkspur, CA, 94939 · 4150 Clement St, San Francisco, CA, 94121