DR. NICHOLAS SPETKO IV MD
NPI 1194219683
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicholas Spetko Iv Md NPPES

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

DR. NICHOLAS SPETKO IV MD (NPI 1194219683) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (276090) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Tufts University School Of Medicine (2018).

NPPES Registry Identity

NPI1194219683
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NICHOLAS SPETKO IVCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400 · (617) 667-7000
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1194219683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 276090
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
330 BROOKLINE AVE, Boston, MA 02215

Accepted 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. Nicholas Spetko Iv 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 ID6406104801
PECOS Enrollment IDI20220625000175
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 Reassignment

Medicare enrollment records show Nicholas Spetko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Obstetrics & Gynecology (Gynecologic Oncology)
330 BROOKLINE AVE, KIRSTEIN 3
BOSTON, MA 02215
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215

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 Nicholas Spetko's NPI number?

The NPI number for Nicholas Spetko is 1194219683. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Nicholas Spetko located?

Nicholas Spetko practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Nicholas Spetko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicholas Spetko enrolled in Medicare?

Yes. Nicholas Spetko 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 organization bills Medicare for Nicholas Spetko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Spetko reassigns Medicare benefits to Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). The 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 Nicholas Spetko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Spetko accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Nicholas Spetko 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 Nicholas Spetko affiliated with any hospitals?

According to CMS data, Nicholas Spetko is affiliated with Beth Israel Deaconess Hospital - Needham and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Spetko was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.