WILLIAM BRAD SPEAKMAN (D.O.) – Family Medicine Physician, NPI 1821034562
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for WILLIAM BRAD SPEAKMAN (D.O.)
220 BANNOCK ST
MALAD CITY, ID 832525068
Phone: (208) 766-2600
Fax: (208) 766-4258
Type: Location
Community Care, 72, East Main Street, Rexburg, Madison County, Idaho, 83440, United States
REXBURG, ID 834401926
Phone: (208) 359-1770
Fax: (208) 359-1780
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Novo Nordisk Inc ($40).
Total Amount
$69
General + Research + Ownership
Payments
4
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $40 |
| Bayer Healthcare Pharmaceuticals Inc. | $15 |
| Lilly USA, LLC | $13 |
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: 2004-07-20
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 |
|---|---|---|---|---|
| I20040720000727 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 43 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 43 | 35 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
| 83037 | Hemoglobin a1c level, by device for home use | 14 | 11 | $0 |
Insurance plans in this area (ZIP 83252)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | ID | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | MO | |
| Physician Assistant | ID | |
| - | ID | |
| Emergency Medicine | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | ID | |
| Family Practice | OK | |
| - | WA |
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