Doctor profile · Federal record
Dr. Paul Speece, M.D.
Diagnostic Radiology Physician (CMS: Interventional Radiology) · Diagnostic Radiology Physician · Vascular & Interventional Radiology Physician · Fresno, CA
- NPI 1932171733
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 24 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1867 E Fir Ave Ste 104
Fresno, CA 937203808
(559) 325-5809 - Additional location
-
2600 Saint Michael Dr
Texarkana, TX 755032372
(903) 614-1000
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- January 22, 2026
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- California #A102465 · Texas #S3881
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932171733. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,004
Distinct HCPCS
10
Medicare allowed
$226,162
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,967 | 52 | $0 | |
71045 |
X-ray of chest, 1 view | 995 | 784 | $9 | |
A9585 |
Injection, gadobutrol, 0.1 ml | 625 | 11 | $0 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 401 | 368 | $12 | |
32555 |
Aspiration of fluid from chest cavity using imaging guidance | 239 | 123 | $107 | |
71046 |
X-ray of chest, 2 views | 236 | 235 | $11 | |
49083 |
Drainage of fluid from abdominal cavity using imaging guidance | 152 | 81 | $104 | |
J2250 |
Injection, midazolam hydrochloride, per 1 mg | 138 | 35 | $0 | |
76937 |
Ultrasonic guidance for blood vessel access | 98 | 91 | $14 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 91 | 53 | $91 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 133. This provider delivers 60× the peer median.Open Payments
Industry payments received
All-time total
$150
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| W. L. Gore & Associates, Inc. | 3 | $90.15 | |
| Medtronic, Inc. | 1 | $22.57 | |
| Boston Scientific Corporation | 1 | $20.89 | |
| Bard Peripheral Vascular, Inc. | 1 | $16.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
49
Patients
44
Total drug cost
$80
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 49 | 44 | $80 |
Frequently asked questions
What is Dr. Paul Speece's medical specialty?
Dr. Paul Speece practices Diagnostic Radiology Physician in Fresno, CA.
Where does Dr. Paul Speece practice?
Dr. Paul Speece practices at 1867 E Fir Ave Ste 104, Fresno, CA 937203808. Office phone: 5593255809.
What is Dr. Paul Speece's NPI?
Dr. Paul Speece's National Provider Identifier (NPI) is 1932171733, issued by NPPES.
Does Dr. Paul Speece accept Medicare assignment?
Yes. Dr. Paul Speece accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Speece commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); X-ray of chest, 1 view (HCPCS 71045); Injection, gadobutrol, 0.1 ml (HCPCS A9585). Source: CMS Medicare Physician & Other Practitioners file.