DR. ROMAN SPIVAK (MD) – Pulmonary Disease Physician, NPI 1780889493
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
376 PULMONARY DISEASE in CT
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Provider Addresses for DR. ROMAN SPIVAK (MD)
67, Maple Avenue, Derby, New Haven County, Connecticut, 06418-1328, United States
DERBY, CT 064181328
Phone: (203) 732-1330
Fax: (203) 732-1332
Type: Mailing
2, Division Street, Ansonia, New Haven County, Connecticut, 06401, United States
ANSONIA, CT 064012135
Phone: (203) 308-2705
Fax: (203) 734-0137
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 218 Open Payments records for all available years, with a total value of $60,410.
Total Amount is formed as General ($60,410) + Research ($0) + Ownership ($0) = $60,410.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($57,074).
Total Amount
$60,410
General + Research + Ownership
Payments
218
Total payment records
General Amount
$60,410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $57,074 |
| AstraZeneca Pharmaceuticals LP | $934 |
| Medtronic, Inc. | $729 |
| ResMed Corp | $177 |
| Baxter Healthcare | $122 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140625000378 | I | Pulmonary Disease | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 280 | 138 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 214 | 132 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 169 | 48 | $0 |
| 99291 | Critical care, first 30-74 minutes | 121 | 44 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 105 | 105 | $0 |
Insurance plans in this area (ZIP 06418)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Hospitalist, Internal Medicine | NY |
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