DR. BERNARD LOUIS SPEEVACK M.D.
NPI 1730178963
Pediatrics in Louisville, KY

Active since October 20, 2005PECOS Enrolled
417 BENJAMIN LANE, SUITE 101, LOUISVILLE, KY 40222(502) 412-0597(502) 412-4637 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Bernard Louis Speevack M.d. NPPES

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

DR. BERNARD LOUIS SPEEVACK M.D. (NPI 1730178963) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (20887) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730178963
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BERNARD LOUIS SPEEVACKCredential: M.D.
Location Address417 BENJAMIN LANE, SUITE 101Louisville, KY 40222-4845
Mailing Address417 Benjamin Lane, Suite 101Louisville, KY 40222-4845 · (502) 412-0597 · Fax (502) 412-4637
Fax(502) 412-4637
Sole ProprietorYes
Enumeration DateOctober 20, 2005
Last NPPES UpdateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1730178963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 20887
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
417 BENJAMIN LANE, Louisville, KY 40222

Other Identifiers 5

Other000000768482KY · Anthem - Nicc
Other000000652903KY · Anthem
Medicaid64208879KY
Other50028108KY · Passport
Other135410KY · Siho - Nicc

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 (PECOS)

Dr. Bernard Louis Speevack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40222 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
20%82 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%21 patients5/55-star benchmark: 100%
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…
64%22 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%261 patients1/55-star benchmark: 96%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 76% · 710 patients
Patients physicalActivity: 75% · 710 patients
93%710 patients
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.

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 Bernard Speevack's NPI number?

The NPI number for Bernard Speevack is 1730178963. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Bernard Speevack located?

Bernard Speevack practices at 417 Benjamin Lane Suite 101, Louisville, KY 40222. The listed phone number is (502) 412-0597.

What is Bernard Speevack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bernard Speevack enrolled in Medicare?

Yes. Bernard Speevack is registered in the Medicare PECOS enrollment system.

What insurance does Bernard Speevack accept?

Health plans from CareSource list Bernard Speevack 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 Bernard Speevack was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.