TODD SPOCK M.D.
NPI 1902216310
Otolaryngology in Newark, DE

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment
700 PRIDES XING STE 200, NEWARK, DE 19713(302) 998-0300 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2022, Jul 26, 2019 (2 updates tracked since 2019).

About Todd Spock M.d. NPPES

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

TODD SPOCK M.D. (NPI 1902216310) is an individual otolaryngology provider in Newark, Delaware, licensed in Delaware (C1-0025006) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of George Washington University School Of Medicine (2014).

NPPES Registry Identity

NPI1902216310
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTODD SPOCKCredential: M.D.
Location Address700 PRIDES XING STE 200Newark, DE 19713-6109
Mailing Address101 W 10th St Apt 222Wilmington, DE 19801-1665
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateMay 7, 2014
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1902216310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in DE · C1-0025006 Licensed in NY · 297505-1
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
700 PRIDES XING STE 200, Newark, DE 19713

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

Todd Spock 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 ID9133440688
PECOS Enrollment IDI20250423000560
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 18

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
578 services15 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
435 services14 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
260 services27 patients
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.
191 services161 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.
186 services151 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
143 services105 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Allergy & Immunology
700 PRIDES XING STE 200
NEWARK, DE 19713
Speech-Language Pathologist
700 PRIDES XING STE 200
NEWARK, DE 19713
Otolaryngology
700 PRIDES XING STE 200
NEWARK, DE 19713
Otolaryngology
700 PRIDES XING STE 200
NEWARK, DE 19713
Allergy & Immunology (Allergy)
700 PRIDES XING STE 200
NEWARK, DE 19713
Otolaryngology
700 PRIDES XING STE 200
NEWARK, DE 19713
Allergy & Immunology
700 PRIDES XING STE 200
NEWARK, DE 19713
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
700 PRIDES XING STE 200
NEWARK, DE 19713

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 Todd Spock's NPI number?

The NPI number for Todd Spock is 1902216310. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Todd Spock located?

Todd Spock practices at 700 Prides Xing Ste 200, Newark, DE 19713. The listed phone number is (302) 998-0300.

What is Todd Spock's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Todd Spock enrolled in Medicare?

Yes. Todd Spock 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 Todd Spock accept?

Health plans from AmeriHealth Caritas Next list Todd Spock 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 Todd Spock affiliated with any hospitals?

According to CMS data, Todd Spock is affiliated with Inova Fairfax Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Todd Spock was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.