Case Name: UNITED STATES of America, Plaintiff-Appellee, v. Harold C. SPEAR, III, M.D., Defendant-Appellant; United States of America, Plaintiff-Appellee, v. Harold C. Spear, III, M.D., Defendant-Appellant
Court: United States Court of Appeals for the Ninth Circuit
Jurisdiction: United States
Decision Date: 2014-06-05
Citations: 577 F. App'x 726
Docket Number: Nos. 12-10124, 12-10125
Parties: UNITED STATES of America, Plaintiff-Appellee, v. Harold C. SPEAR, III, M.D., Defendant-Appellant. United States of America, Plaintiff-Appellee, v. Harold C. Spear, III, M.D., Defendant-Appellant.
Judges: Before: KOZINSKI, Chief Judge, and FISHER and WATFORD, Circuit Judges.
Reporter: West's Federal Appendix
Volume: 577
Pages: 726–728

Head Matter:
UNITED STATES of America, Plaintiff-Appellee, v. Harold C. SPEAR, III, M.D., Defendant-Appellant. United States of America, Plaintiff-Appellee, v. Harold C. Spear, III, M.D., Defendant-Appellant.
Nos. 12-10124, 12-10125.
United States Court of Appeals, Ninth Circuit.
Argued and Submitted Oct. 8, 2013.
Filed June 5, 2014.
Cynthia W. Lie, Assistant U.S., Michael David Nammar, Special Assistant U.S., USH-Office of the U.S. Attorney, Honolulu, HI, for Plaintiff-Appellee.
Michael Robert Levine, Law Office of Michael R. Levine, Portland, OR, for Defendant-Appellant.
Before: KOZINSKI, Chief Judge, and FISHER and WATFORD, Circuit Judges.

Opinion:
MEMORANDUM
Harold Spear appeals his conviction by guilty plea to five counts of knowingly and intentionally distributing controlled substances outside the usual course of professional practice and not for a legitimate medical purpose. We have jurisdiction under 28 U.S.C. § 1291, and we affirm.
1. There was no plain error in the change of plea colloquy. Spear admitted dispensing controlled substances outside the usual course of professional medical practice and not for a legitimate medical purpose. That is sufficient to establish illegal distribution. See United States v. Black, 512 F.2d 864, 866 & n. 2, 868 (9th Cir.1975).
2. There was a sufficient factual basis to support Spear's guilty plea. See United States v. Neel, 547 F.2d 95, 96 (9th Cir.1976) (per curiam). Spear admitted that he prescribed controlled substances without conducting a face-to-face visit or obtaining any objective data supporting the prescription, and that he signed prescriptions in blank. When his staff issued a prescription using these blank forms, the patient was charged between $60 and $100 in cash or credit card payments. Because "[cjulpable intent . can be inferred from the defendant's conduct and from the surrounding circumstances," United States v. Bucher, 375 F.3d 929, 934 (9th Cir.2004), there was a sufficient factual basis for Spear's guilty .plea. See also United States v. Feingold, 454 F.3d 1001, 1008 (9th Cir.2006).
3. The government did not breach the plea agreement by introducing uncharged prescriptions as evidence of relevant conduct during the sentencing hearing. The government did not explicitly promise to limit relevant conduct to the counts that were charged but dismissed, and Spear never objected to the admission of these uncharged prescriptions, either during the sentencing hearing or in his motions to withdraw his guilty plea.
4. The district court did not abuse its discretion by denying Spear's motion to withdraw his guilty plea. The court applied the correct standard of review, held an evidentiary hearing and carefully considered but rejected the arguments supporting Spear's motion. See United States v. Davis, 428 F.3d 802, 806 (9th Cir.2005). The court properly considered Spear's delay in filing that motion to evaluate the credibility of his stated reasons for seeking to withdraw his plea.
AFFIRMED.
This disposition is not appropriate for publication and is not precedent except as provided by 9th Cir. R. 36-3.
. In a concurrently filed opinion, we conclude that the appellate waiver in Spear's plea agreement does not preclude our review of the merits of this appeal.