DR. MICHAEL J SPEDICK MD
NPI 1720054836
Ophthalmology in Toms River, NJ
About Dr. Michael J Spedick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL J SPEDICK MD (NPI 1720054836) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (25MAO3666100) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Dr. Michael J Spedick 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.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Spedick's NPI number?
The NPI number for Michael Spedick is 1720054836. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is Michael Spedick located?
Michael Spedick practices at 601 Route 37 West, Toms River, NJ 08755. The listed phone number is (732) 244-4400.
What is Michael Spedick's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Michael Spedick enrolled in Medicare?
Yes. Michael Spedick 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 Michael Spedick accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michael Spedick 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.
When was this NPI record last updated?
The NPPES record for Michael Spedick was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Michael J Spedick, MD · NPI 1720054836
Ophthalmology physician in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1720054836 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 25MAO3666100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ROUTE 37 WEST, Toms River, NJ 08755-8050
- **Phone:** (732) 244-4400 · **Fax:** (732) 505-2171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rutgers R W Johnson Medical School, class of 1978
## Record status
- **NPPES last updated:** April 28, 2017
- **Other identifiers:** Other 180036752 (NJ); Medicare PIN 520283BBU (NJ); Medicaid 3299406 (NJ); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720054836) · Data from the CMS NPPES public registry.