THEODORE A SPEVACK (D.O.) – Emergency Medicine Physician, NPI 1952369597
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,682 EMERGENCY MEDICINE in MA
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Provider Addresses for THEODORE A SPEVACK (D.O.)
200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States
SUITE 350
FAIRHAVEN, MA 02719
Phone: (508) 999-1100
Fax: (508) 999-7222
Type: Mailing
Tobey Hospital, 43, High Street, Wareham Center, Wareham, Plymouth County, Massachusetts, 02571, United States
SUITE 250
WAREHAM, MA 025712097
Phone: (508) 273-4680
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-09-10
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 |
|---|---|---|---|---|
| I20090910000511 | I | Emergency Medicine | MA | 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 | 365 | 356 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 199 | 197 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 87 | 87 | $0 |
| 81002 | Urinalysis, manual test | 74 | 74 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 70 | 35 | $0 |
Insurance plans in this area (ZIP 02719)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | MA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 183 | 168 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | KS | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | TX |
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