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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES I SPAK M.D.
NPI 1740225416
Orthopaedic Surgery - Sports Medicine in Trumbull, CT

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
82.17/100
CMS Quality Rating
888 WHITE PLAINS RD STE 105&106, TRUMBULL, CT 06611(203) 268-2882(203) 601-8586 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, May 18, 2026, Jun 22, 2021 and 1 more (4 updates tracked since 2020).

About James I Spak M.d. NPPES

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

JAMES I SPAK M.D. (NPI 1740225416) is an individual sports medicine provider in Trumbull, Connecticut, licensed in Connecticut (37005) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Harvard Medical School (1992).

NPPES Registry Identity

NPI1740225416
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAMES I SPAKCredential: M.D.
Location Address888 WHITE PLAINS RD STE 105&106Trumbull, CT 06611-4552
Mailing Address2 Barnes Industrial Rd SWallingford, CT 06492-2486 · (203) 626-0160 · Fax (203) 294-6734
Phone(203) 268-2882
Fax(203) 601-8586
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1992
Enumeration DateJune 18, 2006
Last NPPES UpdateOctober 14, 20264 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1740225416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CT · 37005
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 37005 (CT)
888 WHITE PLAINS RD STE 105&106, Trumbull, CT 06611
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11262 Post RdFairfield, CT 06824-6010 · Phone (203) 254-1354 · Fax (203) 672-0840
Location 21055 Post Rd Ste 4Fairfield, CT 06824-6019 · Phone (203) 254-1055 · Fax (203) 601-8599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

James I Spak M.d. 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 ID1557402666
PECOS Enrollment IDI20100112000468
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 Reassignments

3

Medicare enrollment records show James Spak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Connecticut Orthopaedic Specialists, PC
7.1 mi
Physical Therapist
258 BROAD ST
Milford, CT 06460
  • Reassigned Medicare billing, Connecticut enrollment
  • 146 clinicians in this Medicare group
NPI 1205058922 (203) 882-5632
Neighborhood Health, Inc.
39 mi
General Practice
59 FIELD STREET
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 288 clinicians in this Medicare group
NPI 1043544489 (860) 877-7400
Hartford Healthcare Medical Group Specialists, PLLC
44 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services116 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
128 services28 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
83 services64 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.
76 services59 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
69 services57 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
60 services13 patients

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.

82.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.2
Improvement Activities40
Cost67.71

Other Providers at the Same Location NPPES 10

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

DAVID JON MARTIN M.D.
Orthopaedic Surgery (Sports Medicine)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
DR. MICHAEL R REDLER M.D.
Orthopaedic Surgery (Hand Surgery)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC
Orthopaedic Surgery
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
CAMRYN CAILEY HURLEY PA-C
Physician Assistant (Surgical)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
NICHOLAS G. ANAGNOST PA-C
Physician Assistant (Surgical)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
ALLISON SHILANSKI PA-C
Physician Assistant (Medical)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
ISAAC COHEN M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882
JENNA ALYSSE BERNSTEIN MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
888 WHITE PLAINS RD STE 105&106
TRUMBULL, CT 06611
Greater Bridgeport Planning Region (203) 268-2882

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 James Spak's NPI number?

The NPI number for James Spak is 1740225416. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is James Spak located?

James Spak practices at 888 White Plains Rd Ste 105&106, Trumbull, CT 06611. The listed phone number is (203) 268-2882.

What is James Spak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Spak enrolled in Medicare?

Yes. James Spak 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 organizations bill Medicare for James Spak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Spak reassigns Medicare benefits to 3 organizations: Connecticut Orthopaedic Specialists, PC (Milford, CT), Neighborhood Health, Inc. (Torrington, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). Each 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 James Spak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Spak accept?

Health plans from Anthem Blue Cross and Blue Shield list James Spak 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 James Spak was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.