DR. CEDRIC W. SPAK MD
NPI 1063575199
Internal Medicine - Infectious Disease in Provo, UT

Q: What is Cedric Spak's NPI number?

The NPI number for Cedric Spak is 1063575199. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Cedric Spak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Cedric Spak was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

395 W COUGAR BLVD STE 202, PROVO, UT 84604(801) 357-1772 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Oct 29, 2018, May 9, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Cedric W. Spak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CEDRIC W. SPAK MD (NPI 1063575199) is an individual infectious disease provider in Provo, Utah, licensed in Utah (14293240-1205) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1063575199

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. CEDRIC W. SPAKCredential: MD

Location Address395 W COUGAR BLVD STE 202Provo, UT 84604-3328

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 357-1772

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 19, 2006

Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1063575199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in UT · 14293240-1205✔ Licensed in TX · L1206✔ Licensed in WA · MD00043412

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

395 W COUGAR BLVD STE 202, Provo, UT 84604

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Secondary Practice Location 1

Location 11025 College AveFort Worth, TX 76104-3013 · Phone (817) 810-9810 · Fax (817) 840-9815

Other Identifiers 2

Other8J4777TX · Medicare

Medicaid145478703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cedric W. Spak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931175924

PECOS Enrollment IDI20070625000502

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Cedric Spak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Surgery

395 W COUGAR BLVD STE 802
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1710136742 (801) 357-1030

Texas Centers For Infectious Disease Associates PA

950 mi

Infectious Disease

1025 COLLEGE AVE
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
15 clinicians in this Medicare group

NPI 1750332441 (817) 810-9811

North Texas Infectious Diseases Consultants

973 mi

Specialist

3409 WORTH ST, SUITE 710
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
13 clinicians in this Medicare group

NPI 1891751749 (214) 823-2533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, belatacept, 1 mg J0485

Belatacept is a medication administered through an injection to help manage your immune system after a kidney transplant. This medicine aids in preventing the body from rejecting the new kidney by reducing immune system activity.

14,128 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

846 services194 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

732 services131 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

392 services65 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

360 services202 patients

Injection, ertapenem sodium, 500 mg J1335

Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.

293 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

175 services156 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

156 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

116 services102 patients

Collection of blood sample from central venous tube 36592

The collection of a blood sample from a central venous tube is a procedure where a small amount of blood is drawn from a tube inserted into a large vein in your chest, neck, or groin. This method is often used for accurate testing when frequent or large-volume samples are needed. It's usually painless, as the tube is already in place.

70 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

47 services47 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

32 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services29 patients

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573

This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.

28 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services25 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

23 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Uptown

Acute Care Hospitals · Dallas, TX

OwnershipProprietary

CMS Certification Number450422

Location2727 East Lemmon Avenue Building IDallas, TX 75204 · Dallas County

Emergency services

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450462

Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White Heart & Vascular Hospital - Dallas

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450851

Location621 North Hall StreetDallas, TX 75226 · Dallas County

Emergency services

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number670049

Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.21

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

2 suppliers20 claims20 services$18.71 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers20 claims188 services$35.99 avg. paid by Medicare

Injection, ganciclovir sodium, 500 mg J1570

Treatment-Injections and Infusions (nononcologic) · category RI000N

2 suppliers13 claims97 services$37.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASHA RENEE HORTIN APRN

Nurse Practitioner (Family)

395 W COUGAR BLVD STE 202
PROVO, UT 84604

Utah County (801) 357-0550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedric Spak's NPI number?

The NPI number for Cedric Spak is 1063575199. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Cedric Spak located?

Cedric Spak practices at 395 W Cougar Blvd Ste 202, Provo, UT 84604. The listed phone number is (801) 357-1772.

What is Cedric Spak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Cedric Spak enrolled in Medicare?

Yes. Cedric Spak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cedric Spak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cedric Spak reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Provo, UT), Texas Centers For Infectious Disease Associates PA (Fort Worth, TX) and North Texas Infectious Diseases Consultants (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cedric Spak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cedric Spak accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Cedric Spak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cedric Spak affiliated with any hospitals?

According to CMS data, Cedric Spak is affiliated with Baylor University Medical Center, Baylor Scott And White Medical Center Uptown, Texas Health Presbyterian Hospital Dallas, Baylor Scott & White Heart & Vascular Hospital - Dallas and North Central Surgical Center LLP.

When was this NPI record last updated?

The NPPES record for Cedric Spak was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.