Doctor profile · Federal record

Dr. David Speach, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician (CMS: Physical Medicine and Rehabilitation) · Electrodiagnostic Medicine Physician · Physical Medicine & Rehabilitation Physician · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Physical Medicine & Rehabilitation Physician · Rochester, NY

  • NPI 1003850660
  • MIPS 73.3 / 100 · 2023
  • 37 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
601 Elmwood Ave, Box 665
Rochester, NY 146420001
(585) 341-9238
fax (585) 340-3051

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
April 9, 2026
Year of graduation
1989 — 37 yrs since
Specialty taxonomy
2081P2900X — NUCC code
State licenses (2)
New York #179673 · Indiana #01085922A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003850660. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
153
Distinct HCPCS
6
Medicare allowed
$13,348
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 61 34 $118
95886 Needle measurement of electrical activity in arm or leg muscles, complete study 36 33 $57
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels 17 14 $32
95910 Nerve conduction, 7-8 studies 16 16 $128
95885 Needle measurement of electrical activity in arm or leg muscles, limited study 12 12 $35
95909 Nerve conduction, 5-6 studies 11 11 $96

In context: peer comparison

Among 4 peers in this city , average services per provider: 30. This provider delivers 5.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
288
Patients
20
Total drug cost
$4,608
Drug Type Claims Patients Total cost
Gabapentin Generic 103 20 $1,555
Pregabalin Generic 77 0 $2,316
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 40 0 $332
Tramadol Hcl Generic 23 0 $76
Meloxicam Generic 18 0 $190
Cyclobenzaprine Hcl Generic 14 0 $60
Amitriptyline Hcl Generic 13 0 $78

Frequently asked questions

Auto-generated from federal data
What is Dr. David Speach's medical specialty?
Dr. David Speach practices Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rochester, NY.
Where does Dr. David Speach practice?
Dr. David Speach practices at 601 Elmwood Ave, Rochester, NY 146420001. Office phone: 5853419238.
What is Dr. David Speach's NPI?
Dr. David Speach's National Provider Identifier (NPI) is 1003850660, issued by NPPES.
Does Dr. David Speach accept Medicare assignment?
Dr. David Speach does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. David Speach commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS 95886); Limited ultrasound scan of joint or other extremity structure except blood vessels (HCPCS 76882). Source: CMS Medicare Physician & Other Practitioners file.