Nicholas Spetko, M.D
NPI 1235121047 · Internal Medicine Physician · Mt Juliet, TN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Spetko, M.D is a Internal Medicine Physician provider in Mt Juliet, TN (NPI 1235121047).
Provider details
- NPI number
- 1235121047
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 62678 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
371 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 177 | $95 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 80 | $65 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 68 | $73 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 33 | $15 |
| Administration of Pneumococcal VaccineG0009 | 13 | $30 |
Typical Medicare-allowed amounts for these services range $15–$95 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 123 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 350 | 95 |
| Amlodipine Besylate | 238 | 80 |
| Omeprazole | 185 | 42 |
| Pantoprazole Sodium | 183 | 52 |
| Levothyroxine Sodium | 182 | 47 |
| Lisinopril | 182 | 50 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$394 across 21 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Frequently asked questions
- What is Nicholas Spetko's NPI number?
- Nicholas Spetko's National Provider Identifier (NPI) is 1235121047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Spetko's specialty?
- Nicholas Spetko is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Spetko located?
- Nicholas Spetko's practice location on file with NPPES is 108 Providence Trl, Mt Juliet, TN 37122-6578.
- What is Nicholas Spetko's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Spetko is (615) 466-0041.
- Does Nicholas Spetko accept Medicare?
- Nicholas Spetko is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Spetko's NPI active?
- Yes — Nicholas Spetko's NPI (1235121047) is active in the NPPES registry as of the last update on 2021-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.