Dr. Michael Christopher Speck, MD

  • Fredericksburg, TX
  • Urologist
NPI1881733897PAC ID6608049903
Medicare services, 2024
2,885
Medicare patients, 2024
677
Part D claims, 2024
2,256
MIPS score, 2024
100
Hospital affiliations
5
Practice address
1892 W Us Hwy 290 Gillespie County Urology, Fredericksburg, TX 78624-6644
Practice phone
Call (830) 304-1666
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Gillespie County Urology

Medical specialty practice · Fredericksburg, Texas

See all 8 affiliations

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Dr. Michael Christopher Speck is a urologist in Fredericksburg, Texas

Dr. Speck practices at Gillespie County Urology in Fredericksburg, Texas.

Dr. Speck's NPI, 1881733897, was assigned on February 6, 2007. Dr. Speck graduated from UTMB Health in 2006. Dr. Speck holds Texas license N9648.

NPI and contact details
Medicare PAC ID
6608049903
NPI enumeration date
February 6, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(830) 304-1666
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
46
Medical school graduation
2006

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Michael Christopher Speck practices at Gillespie County Urology in Fredericksburg, Texas

Dr. Speck's primary practice is Gillespie County Urology, at 1892 W Us Hwy 290 Gillespie County Urology, Fredericksburg, TX 78624-6644. The practice phone is (830) 304-1666.

  • Gillespie County Urology
    1892 W Us Hwy 290 Gillespie County Urology, Fredericksburg, TX 78624-6644Phone(830) 304-1666

Source: Dmand AI Affiliation Data

Dr. Michael Christopher Speck is affiliated with 6 sites of care and 2 medical groups

Dr. Speck's primary practice is Gillespie County Urology in Fredericksburg, Texas. Dr. Speck is also affiliated with Methodist Hospital Hill Country. The medical group on file is Gillespie County Urology. Dmand AI also links Dr. Speck to 4 more hospitals and 1 medical group, each named with a free account.

See all 8 affiliations for Dr. Speck

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Michael Christopher Speck's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Speck practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Gillespie County UrologyAvailable with a free account
+5 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Michael Christopher Speck is one of 872 urologists in Texas

Urology is Dr. Speck's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Speck is board certified in urology by the American Board of Urology. Dmand AI has Dr. Speck's licenses on file in 2 states: Texas and New Mexico.

Specialties and state licenses

  • Urology, TexasPrimaryLicense N9648 · 2011 to 2026 · taxonomy 208800000X
  • New Mexico license2024 to 2028

Clinical focus

Dmand AI lists bladder disease, enlarged prostate, enlarged prostate transurethral surgery (TURP), erectile dysfunction, kidney cysts, kidney removal surgery, kidney stone disease and prostate cancer among the conditions Dr. Speck treats.

Urologists near Dr. Speck

Counts of urologists with a Dmand AI profile, by place and practice. Each opens the list.

872urologists in Texas
2urologists in Fredericksburg

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Michael Christopher Speck billed Medicare for 2,885 services in 2024

CMS data shows 2,885 Medicare services from Dr. Speck across 28 procedure codes in 2024, for 677 Medicare patients. Medicare paid $189,388 for them.

Medicare services, 20242,885
Medicare patients677
Paid by Medicare$189,388
Procedure codes28

Dr. Speck's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,1412024: 1,01311%
Lab and pathology
2023: 8782024: 8661%
Surgery
2023: 5312024: 5697%
Drugs given in the office
2023: 3612024: 31612%
Tests and treatments
2023: 702024: 8623%
Imaging
2023: 342024: 353%

Where Dr. Speck's Medicare services took place, 2024

  • In an office2,62391%
  • In a facility2629%

Dr. Speck compared with the Texas median for urologists, 2024

  • Dr. Speck
  • Texas median
Medicare services
2,885vs 1,57084% above
Medicare patients
677vs 40069% above
Part D claims
2,167vs 9182.4 times

Medians across 809 urologists in Texas with Dmand AI profiles that report each measure.

Dr. Speck's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Speck

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Michael Christopher Speck treated 677 Medicare patients in 2024, average age 77

CMS counts 677 Medicare patients who saw Dr. Speck in 2024. The largest group is 75 to 84, with 304 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 3% are also on Medicaid. Their average risk score is 1.20, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Speck's median patient age at 75, with 19% women.

Medicare patients, 2024677
Average age77
Average risk score1.20
Also on Medicaid3%

Dr. Speck's Medicare patients by age, 2024

Dr. Speck's Medicare patients by sex, 2024

  • Women17926%
  • Men49874%

Chronic conditions among Dr. Speck's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis47%
  4. Cancer33%
  5. Ischemic heart disease29%
  6. Chronic kidney disease25%
  7. Diabetes25%
  8. Atrial fibrillation22%

Share of Medicare patients with each condition. A patient can have several.

Dr. Speck's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women19%
  • Men79%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Michael Christopher Speck wrote 2,256 Medicare Part D claims in 2024

In 2024, Dr. Speck wrote 2,256 Medicare Part D claims for 635 patients. 86% of them were for generic drugs. CMS names the drug for 2,167 of them, across 29 drugs with 11 or more claims each, at $377,170 in total drug cost. In 2023, CMS named 2,167 claims across 25 drugs.

Part D claims, 20242,256
Drugs named by CMS29
Total drug cost$377,170
Part D patients635

Dr. Speck's Part D claims by kind of drug, 2024

  • Generic1,940 claims86%
  • Brand-name and other316 claims14%

Dr. Speck's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Speck's Part D claims, 2024

  • Opioids6%126 of 2,256 claims
  • Antibiotics16%363 of 2,256 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2,1672024: 2,167No change

Drugs named by CMS: 29 in 2024, 25 in 2023.

See all prescribing by Dr. Speck

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Michael Christopher Speck scored 100 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Speck for performance year 2024, reported as part of a group. Dr. Speck accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 13 procedures of prostate resection by Dr. Speck, more than 67% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Speck's MIPS scores, performance year 2024

  • 100of 100Final score
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Speck ranks in Medicare procedure volume

Prostate resection
67th percentile13 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Michael Christopher Speck received $6,408 in industry payments from 2016 to 2025

CMS Open Payments shows 226 general payments to Dr. Speck from 54 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 83% of the total. Coloplast Corp paid the most, $1,389.

General payments to Dr. Speck by program year, 2016 to 2025

General payments to Dr. Speck by kind, 2016 to 2025

$6.4Kin total
  • Food and beverage$5,32083%
  • Education$61810%
  • Travel and lodging$4707%

Companies that paid Dr. Speck the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Speck

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Michael Christopher Speck graduated from UTMB Health

Dr. Speck graduated from UTMB Health in 2006.

  1. Medical schoolUTMB Health
  2. Board certified in urologyAmerican Board of Urology

Source: Dmand AI Professional Profile Data

Dr. Michael Christopher Speck accepts plans from 21 insurance carriers

Dr. Speck is in network with 21 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Excellus BlueCross BlueShield
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • HCSC
  • Alliant Health Plans
  • Blue Cross Blue Shield of Massachusetts
  • +13 more carriersWith a free account

Plan types Dr. Speck accepts, by number of carriers

  1. PPO14
  2. Medicare10
  3. HMO9
  4. POS7
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Michael Christopher Speck's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Michael Christopher Speck

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Michael Christopher Speck's NPI number?

Dr. Michael Christopher Speck's NPI number is 1881733897. It was assigned on February 6, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael Christopher Speck?

Dr. Michael Christopher Speck is a urologist in Fredericksburg, Texas. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).

Where does Dr. Michael Christopher Speck practice?

Dr. Speck practices at 1892 W Us Hwy 290 Gillespie County Urology, Fredericksburg, TX 78624-6644. Dr. Speck's primary practice is Gillespie County Urology in Fredericksburg, Texas. Dmand AI also links Dr. Speck to 4 hospitals and 1 medical group.

What is Dr. Michael Christopher Speck's office phone number?

The practice phone on file for Dr. Speck is (830) 304-1666.

What is Dr. Michael Christopher Speck's medical license number?

Dr. Speck holds Texas license N9648, one of the licenses on file in 2 states.

Which states has Dr. Michael Christopher Speck been licensed in?

Dmand AI has state licenses on file for Dr. Speck in Texas (2011 to 2026) and New Mexico (2024 to 2028).

Which hospitals is Dr. Michael Christopher Speck affiliated with?

Dr. Speck is affiliated with Methodist Hospital Hill Country. Dmand AI links Dr. Speck to 4 more hospitals.

What medical group is Dr. Michael Christopher Speck part of?

Dr. Speck is linked to Gillespie County Urology. Dmand AI links Dr. Speck to 1 more medical group.

Does Dr. Michael Christopher Speck accept Medicare?

Yes. CMS data shows Dr. Speck billed Medicare for 2,885 services in 2024, and Dr. Speck accepts Medicare assignment.

What is Dr. Michael Christopher Speck's MIPS score?

Dr. Speck's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Michael Christopher Speck see?

CMS counts 677 Medicare patients who saw Dr. Speck in 2024, with an average age of 77.

Is Dr. Michael Christopher Speck board certified?

Yes. Dr. Speck is board certified in urology by the American Board of Urology.

What services does Dr. Michael Christopher Speck bill to Medicare?

In 2024, Dr. Speck's most billed Medicare services were lab and pathology test (81003), office visit, established patient (99213) and surgery: urinary system (52000).

Where did Dr. Michael Christopher Speck go to medical school?

Dr. Speck graduated from UTMB Health in 2006.

What drugs does Dr. Michael Christopher Speck prescribe most?

In 2024 Medicare Part D data, Dr. Speck's most prescribed drugs by claims were Tamsulosin HCl, Finasteride and Myrbetriq.

Has Dr. Michael Christopher Speck received payments from drug or device companies?

CMS Open Payments shows $6,408 in general payments to Dr. Speck from 54 companies from 2016 to 2025. The largest total came from Coloplast Corp.

How long has Dr. Michael Christopher Speck been practicing?

Dr. Speck graduated from medical school in 2006, 20 years ago.

What insurance does Dr. Michael Christopher Speck accept?

Dr. Speck is in network with 21 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.

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