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THEODORE A SPEVACK D.O.
NPI 1952369597
Emergency Medicine in Wareham, MA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
43 HIGH ST, SUITE 250, WAREHAM, MA 02571(508) 273-4680 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore A Spevack D.o. NPPES

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

THEODORE A SPEVACK D.O. (NPI 1952369597) is an individual emergency medicine provider in Wareham, Massachusetts, licensed in Massachusetts (159275) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Falmouth Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1952369597
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE A SPEVACKCredential: D.O.
Location Address43 HIGH ST, SUITE 250Wareham, MA 02571-2097
Mailing Address200 Mill Rd, Suite 350Fairhaven, MA 02719 · (508) 999-1100 · Fax (508) 999-7222
Phone(508) 273-4680
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 1, 2009
✔ NPI 1952369597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 159275
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
43 HIGH ST, Wareham, MA 02571
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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

Theodore A Spevack D.o. 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 ID8224068762
PECOS Enrollment IDI20090910000511
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 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.

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.
257 services256 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.
122 services119 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
54 services54 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
54 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02571 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.68
Promoting Interoperability100
Improvement Activities40

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.

DR. CHARLES J KERT M.D.
Hospitalist
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-5919
JOANN KOSLOWSKY
Pharmacist
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-4250
SIRJANA DHUNGANA PARAJULI MD
Internal Medicine
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-5919
LISA M. BILLINGS NP
Nurse Practitioner (Adult Health)
43 HIGH ST, SOUTHCOAST PHYSICIAN SERVICES, INC.
WAREHAM, MA 02571
Plymouth County (508) 961-5919
JOHN D SCHEUB M.D.
Anesthesiology
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 295-0880
MRS. DEBORAH ANN HARRIS RPH
Pharmacist
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 273-4250
JUDITH A CATALAN NP
Nurse Practitioner
43 HIGH ST
WAREHAM, MA 02571
Plymouth County (508) 973-5919
LINDA JEAN WEIDNER M.D.
Emergency Medicine
43 HIGH ST, TOBEY HOSPITAL
WAREHAM, MA 02571
Plymouth County (508) 273-4180

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 Theodore Spevack's NPI number?

The NPI number for Theodore Spevack is 1952369597. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Theodore Spevack located?

Theodore Spevack practices at 43 High St Suite 250, Wareham, MA 02571. The listed phone number is (508) 273-4680.

What is Theodore Spevack's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Spevack enrolled in Medicare?

Yes. Theodore Spevack 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.

Is Theodore Spevack affiliated with any hospitals?

According to CMS data, Theodore Spevack is affiliated with Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Spevack was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.