DR. KENNETH R. SPAETH
NPI 1649303405
Student in an Organized Health Care Education/Training Program in Brookline, MA

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
85 ABBOTTSFORD RD, BROOKLINE, MA 02446(347) 886-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth R. Spaeth NPPES

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

DR. KENNETH R. SPAETH (NPI 1649303405) is an individual student in an organized health care education/training program in Brookline, Massachusetts and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2003).

NPPES Registry Identity

NPI1649303405
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KENNETH R. SPAETH
Location Address85 ABBOTTSFORD RDBrookline, MA 02446-5871
Mailing Address85 Abbottsford RdBrookline, MA 02446-5871 · (347) 886-2000
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2003
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649303405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

85 ABBOTTSFORD RD, Brookline, MA 02446

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

Dr. Kenneth R. Spaeth 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 ID840326054
PECOS Enrollment IDI20100326000702
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 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Spaeth's NPI number?

The NPI number for Kenneth Spaeth is 1649303405. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Kenneth Spaeth located?

Kenneth Spaeth practices at 85 Abbottsford Rd, Brookline, MA 02446. The listed phone number is (347) 886-2000.

What is Kenneth Spaeth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenneth Spaeth enrolled in Medicare?

Yes. Kenneth Spaeth 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.

When was this NPI record last updated?

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