KENNETH S SPECTOR MD PHD
NPI 1497818462
Internal Medicine - Interventional Cardiology in Derby, CT

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
130 DIVISION STREET, DERBY, CT 06418(203) 732-7455(203) 735-5507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth S Spector Md Phd NPPES

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

KENNETH S SPECTOR MD PHD (NPI 1497818462) is an individual interventional cardiology provider in Derby, Connecticut, licensed in Connecticut (040935) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1497818462
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameKENNETH S SPECTORCredential: MD PHD
Location Address130 DIVISION STREETDerby, CT 06418
Mailing AddressPo Box 354Derby, CT 06418 · (203) 732-7455 · Fax (203) 735-5507
Fax(203) 735-5507
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497818462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CT · 040935
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
130 DIVISION STREET, Derby, CT 06418

Other Identifiers 2

Medicare UPINH47376
Medicare ID-Type Unspecified06001511CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth S Spector Md Phd 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 ID8729177092
PECOS Enrollment IDI20211214001200
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.

Areas of Expertise CMS Part B claims 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,782 services941 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,758 services1,338 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.
1,758 services905 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
828 services36 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
579 services562 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.
528 services219 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.36
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%287 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Student in an Organized Health Care Education/Training Program
130 DIVISION STREET
DERBY, CT 06418
Counselor
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Internal Medicine
130 DIVISION STREET
DERBY, CT 06418
Counselor (Mental Health)
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Counselor (Addiction (Substance Use Disorder))
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Internal Medicine
130 DIVISION STREET
DERBY, CT 06418
Internal Medicine (Interventional Cardiology)
130 DIVISION STREET
DERBY, CT 06418
Clinic/Center (Mental Health (Including Community Mental Health Center))
130 DIVISION STREET
DERBY, CT 06418

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 Kenneth Spector's NPI number?

The NPI number for Kenneth Spector is 1497818462. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Kenneth Spector located?

Kenneth Spector practices at 130 Division Street, Derby, CT 06418. The listed phone number is (203) 732-7455.

What is Kenneth Spector's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kenneth Spector enrolled in Medicare?

Yes. Kenneth Spector 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.

What insurance does Kenneth Spector accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenneth Spector 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 Kenneth Spector affiliated with any hospitals?

According to CMS data, Kenneth Spector is affiliated with Cape Cod Hospital, Falmouth Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Spector was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.