Nicholas Spetko III, M.D
NPI 1235121047ActiveIndividual· Internal Medicine· Mt Juliet, TN
Internal Medicine (M.D) in Mt Juliet, Tennessee, licensed in TN, with an NPI issued in August 2005. Their prescriptions cost Medicare Part D more than their services did: $490,912 for 6,346 claims, against $24,783 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 9 companies reporting payments in 2024, $394.19 in all, mostly food and beverage.
Overview
| NPI | 1235121047 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2005 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 62678 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ); Practitioner - Internal Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 171 |
|---|---|
| Services billed | 471 across 20 procedure codes |
| Paid by Medicare | $24,783 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,346 · 13,361 30-day fills |
|---|---|
| Patients | 428 |
| Total drug cost | $490,912 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
- 2024$394.19 · 21 payments from 9 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $86.07 | 4 |
| Astrazeneca Pharmaceuticals LP | $81.50 | 5 |
| Novo Nordisk Inc | $76.70 | 4 |
| Exact Sciences Corporation | $48.78 | 3 |
| Jazz Pharmaceuticals Inc. | $26.21 | 1 |
What the 2024 payments were for
- Food and Beverage$394.19 · 21 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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