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Dr. Michael Speck, MD

Fredericksburg, TX

Accepting patients

Affiliated with a Castle Connolly Top Hospital

    Who is Dr. Speck, Urologist in Fredericksburg, TX?

    Dr. Michael Speck, MD is an Urologist, who primarily practices in Fredericksburg, TX. Dr. Speck graduated from Texas A&M University. Dr. Speck is fluent in English, and is currently seeing new patients. Dr. Speck’s practice accepts Medicaid, Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Speck’s office.

    Where did Dr. Speck go to medical school and complete their residency?

    • Medical School: Texas A&M University | University of New Mexico School of Medicine

    What languages does Dr. Speck speak?

    Dr. Speck and their clinical team can communicate with patients in the following languages:

    • English

    What conditions does Dr. Speck treat?

    As an Urologist, Dr. Speck diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Speck. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Enlarged Prostate with Urinary Symptoms
    • Enlarged Prostate (BPH)
    • Enlarged Prostate (Benign Prostatic Hyperplasia)
    • BPH with LUTS
    • Prostate enlargement with urinary issues
    • Benign prostatic hyperplasia with urinary symptoms

    ICD-10 Codes:

    • N401: Benign prostatic hyperplasia with lower urinary tract symptoms

    Also known as:

    • Kidney Stones
    • Ureter Stone
    • Kidney and Ureter Stones
    • Ureteral Disorder
    • Renal Calculi
    • Nephrolithiasis
    • Kidney Calculi
    • Ureteral Calculus
    • Renal and Ureteral Calculi

    ICD-10 Codes:

    • N200: Calculus of kidney
    • N201: Calculus of ureter
    • N202: Calculus of kidney with calculus of ureter

    Also known as:

    • Prostate Cancer
    • Prostate Cancer Treatment (PDQ®)
    • Prostatic Carcinoma
    • Prostate Gland Cancer
    • Malignant Prostate Tumor

    ICD-10 Codes:

    • C61: Malignant neoplasm of prostate

    Also known as:

    • Visible Blood in Urine
    • Asymptomatic Microscopic Blood in Urine
    • Urine and Urination
    • Hematuria (Blood in the Urine)
    • Gross hematuria
    • Macroscopic hematuria
    • Bloody pee
    • Hidden blood in urine without symptoms
    • Microscopic hematuria without symptoms
    • No symptoms blood in urine

    ICD-10 Codes:

    • R310: Gross hematuria
    • R3121: Asymptomatic microscopic hematuria

    Also known as:

    • Elevated PSA Level
    • Prostate Cancer Screening
    • Prostate Disease
    • Prostate-Specific Antigen (PSA) Test
    • Prostate Problems
    • High Prostate Specific Antigen
    • Abnormal PSA Test
    • Increased PSA

    ICD-10 Codes:

    • R9720: Elevated prostate specific antigen [PSA]

    Also known as:

    • Bladder Cancer
    • Urinary Bladder Cancer
    • Bladder Carcinoma

    ICD-10 Codes:

    • C672: Malignant neoplasm of lateral wall of bladder
    • C679: Malignant neoplasm of bladder, unspecified

    Also known as:

    • Enlarged Prostate
    • Enlarged Prostate (BPH)
    • Enlarged Prostate (Benign Prostatic Hyperplasia)
    • Benign Prostatic Hyperplasia
    • BPH
    • Prostate Enlargement

    ICD-10 Codes:

    • N400: Benign prostatic hyperplasia without lower urinary tract symptoms

    Also known as:

    • Chronic Bladder Inflammation
    • Bladder Disease
    • Chronic Cystitis
    • Long-term Bladder Infection
    • Persistent Bladder Pain

    ICD-10 Codes:

    • N3020: Other chronic cystitis without hematuria

    Also known as:

    • Testicular Hypofunction
    • Testicular Disorder
    • Underactive Testicles
    • Low Testicular Function
    • Hypogonadism

    ICD-10 Codes:

    • E291: Testicular hypofunction

    Also known as:

    • Urinary Tract Infection
    • UTI
    • Bladder infection
    • Kidney infection
    • Urine infection

    ICD-10 Codes:

    • N390: Urinary tract infection, site not specified

    Also known as:

    • Swollen Kidney
    • Kidney Disease
    • Hydronephrosis
    • Kidney Swelling

    ICD-10 Codes:

    • N1330: Unspecified hydronephrosis

    Also known as:

    • Urge Urinary Incontinence
    • Urinary Incontinence
    • Urge Incontinence
    • Overactive Bladder
    • Sudden Urge to Urinate

    ICD-10 Codes:

    • N3941: Urge incontinence

    Also known as:

    • Overactive Bladder
    • OAB
    • Urgency Incontinence
    • Frequent Urination

    ICD-10 Codes:

    • N3281: Overactive bladder

    Also known as:

    • Kidney Cancer
    • Renal Cancer
    • Kidney Tumor
    • Renal Cell Carcinoma

    ICD-10 Codes:

    • C641: Malignant neoplasm of right kidney, except renal pelvis

    Also known as:

    • Sterilization Procedure
    • Tubal Ligation
    • Vasectomy
    • Permanent contraception
    • Tubal ligation
    • Surgical birth control

    ICD-10 Codes:

    • Z302: Encounter for sterilization

    Also known as:

    • Kidney Cancer
    • Renal cancer
    • Kidney carcinoma
    • Renal cell carcinoma

    ICD-10 Codes:

    • C642: Malignant neoplasm of left kidney, except renal pelvis

    What procedures does Dr. Speck perform?

    As an Urologist, Dr. Speck performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Speck. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Bladder and Urethra Scope
    • Cystoscopy
    • Urethroscopy
    • Bladder scope procedure

    CPT Codes:

    • 52000: Cystourethroscopy (separate procedure)

    Also known as:

    • Kidney Stone Removal with Scope and Stent
    • Bladder Stone Removal
    • Kidney Stone Shock Wave Treatment
    • Ureteroscopy with lithotripsy
    • Bladder scope for stones
    • Kidney stone breaking with stent
    • Ureteral stent placement for stones
    • Litholapaxy
    • Bladder Stone Crushing
    • Cystolitholapaxy
    • ESWL
    • Extracorporeal Shock Wave Lithotripsy
    • Shock Wave Lithotripsy
    • Non-Invasive Kidney Stone Removal

    CPT Codes:

    • 52356: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)
    • 52317: Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)
    • 50590: Lithotripsy, extracorporeal shock wave

    Also known as:

    • Bladder and Urethra Exam with Ureteral Catheterization
    • Bladder and Urethra Exam with Small Lesion Treatment
    • Cystourethroscopy with Catheterization
    • Ureteral Catheter Placement
    • Bladder Scope with Ureteral Access
    • Cystourethroscopy with Fulguration
    • Bladder Lesion Removal
    • Urethra Lesion Treatment
    • Cystoscopy with Biopsy

    CPT Codes:

    • 52005: Cystourethroscopy, With Ureteral Catheterization, With Or Without Irrigation, Instillation, Or Ureteropyelography, Exclusive Of Radiologic Service;
    • 52224: Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy

    Also known as:

    • Ureteral Stent Placement (via Cystoscopy)
    • Cystoscopy with ureteral stent
    • Double-J stent insertion
    • Gibbons stent placement
    • Kidney stent placement

    CPT Codes:

    • 52332: Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)

    Also known as:

    • Transurethral Resection of the Prostate (TURP)
    • Complete Transurethral Resection of Prostate (TURP)
    • TURP Procedure
    • Prostate Resection Surgery
    • Electrosurgical Prostate Removal
    • Benign Prostatic Hyperplasia Surgery
    • TURP for prostate regrowth
    • Prostate tissue removal
    • Transurethral prostatectomy
    • BPH surgery

    CPT Codes:

    • 52601: Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)
    • 52630: Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)

    Also known as:

    • Bladder Scope with Removal of Foreign Body or Stent
    • Cystourethroscopy for Foreign Body
    • Bladder Stone Removal with Scope
    • Ureteral Stent Removal (Cystoscopic)

    CPT Codes:

    • 52310: Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple

    Also known as:

    • Bladder Tumor Removal (Medium Size)
    • Small Bladder Tumor Removal (Cystoscopy)
    • Bladder Tumor Removal (Large Size)
    • Cystoscopy with Bladder Tumor Resection
    • Bladder Tumor Fulguration
    • Laser Removal of Bladder Tumor
    • Cystourethroscopy with Bladder Tumor Resection
    • Cystoscopy with Large Bladder Tumor Resection
    • Large Bladder Tumor Fulguration
    • Laser Removal of Large Bladder Tumor

    CPT Codes:

    • 52235: Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)
    • 52234: Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)
    • 52240: Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)

    Also known as:

    • Bladder Injection for Overactivity
    • Bladder Chemodenervation
    • Botox for Bladder
    • Cystoscopy with Bladder Injection
    • Overactive Bladder Injection

    CPT Codes:

    • 52287: Cystourethroscopy, with injection(s) for chemodenervation of the bladder

    Also known as:

    • Bladder Scope with Clot Removal
    • Bladder Dilation for Interstitial Cystitis
    • Cystourethroscopy with clot evacuation
    • Bladder clot irrigation
    • Removal of blood clots from bladder
    • Cystoscopy with Bladder Dilation
    • Interstitial Cystitis Treatment
    • Bladder Stretching Procedure

    CPT Codes:

    • 52001: Cystourethroscopy with irrigation and evacuation of multiple obstructing clots
    • 52260: Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia

    Also known as:

    • Bladder Ultrasound for Residual Urine
    • Post-void residual urine measurement
    • Bladder capacity ultrasound
    • Non-imaging bladder scan

    CPT Codes:

    • 51798: Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging

    Also known as:

    • Diagnostic Bladder and Urinary Tract Scope
    • Cystourethroscopy
    • Ureteroscopy
    • Pyeloscopy
    • Urinary Tract Endoscopy

    CPT Codes:

    • 52351: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

    Also known as:

    • Urethra Widening Surgery
    • Internal Urethrotomy
    • Cystourethroscopy with Urethrotomy
    • Urethral Stricture Repair

    CPT Codes:

    • 52276: Cystourethroscopy with direct vision internal urethrotomy

    Also known as:

    • Urethra Widening Procedure
    • Female Urethra Dilation
    • Urethral Stricture Dilation
    • Cystourethroscopy with Dilation
    • Urethral Calibration
    • Urethral Widening for Women
    • Female Urethral Stricture Treatment
    • Urethral Opening Dilation
    • Bladder Neck Dilation

    CPT Codes:

    • 52281: Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female
    • 53660: Dilation of female urethra including suppository and/or instillation; initial

    Also known as:

    • Additional Prostate Implant Placement (Cystoscopy)
    • Transprostatic Implant Insertion (Additional)
    • Urethral Lift Device (Additional)
    • Prostatic Urethral Stent (Additional)
    • Cystoscopy with Prostate Implant

    CPT Codes:

    • 52442: Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)

    Also known as:

    • Prostate Implant for Urinary Flow
    • Transprostatic Implant Insertion
    • Cystourethroscopy with Prostate Stent
    • Adjustable Prostate Implant
    • Prostate Urethral Lift

    CPT Codes:

    • 52441: Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant

    Also known as:

    • Laparoscopic Radical Nephrectomy
    • Minimally Invasive Kidney Removal
    • Keyhole Radical Nephrectomy
    • Kidney Cancer Surgery

    CPT Codes:

    • 50545: Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)

    Also known as:

    • Bladder Stone Crushing and Removal (Large/Complex)
    • Litholapaxy (large stone)
    • Cystolitholapaxy
    • Bladder stone fragmentation
    • Removal of large bladder calculus

    CPT Codes:

    • 52318: Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)

    Also known as:

    • Bladder and Urethra Scope with Biopsy
    • Cystoscopy with Biopsy
    • Urethroscopy with Biopsy
    • Bladder Biopsy

    CPT Codes:

    • 52204: Cystourethroscopy, with biopsy(s)

    Also known as:

    • Kidney Stone Removal (Scope Procedure)
    • Ureteroscopy with Stone Removal
    • Pyeloscopy with Stone Removal
    • Cystourethroscopy for Stones
    • Ureteral Stone Manipulation

    CPT Codes:

    • 52352: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)

    Also known as:

    • Bladder Scope with Ureter/Kidney Biopsy and Treatment
    • Ureteroscopy with biopsy
    • Pyeloscopy with fulguration
    • Ureteral lesion removal via scope

    CPT Codes:

    • 52354: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion

    Also known as:

    • Prostate Biopsy
    • Needle Biopsy of Prostate
    • Punch Biopsy of Prostate
    • Prostate Tissue Sample

    CPT Codes:

    • 55700: Biopsy, prostate; needle or punch, single or multiple, any approach

    Also known as:

    • Vasectomy
    • Male Birth Control Surgery
    • Male Sterilization Procedure
    • Semen Analysis After Vasectomy

    CPT Codes:

    • 55250: Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)

    Also known as:

    • Repair of Scrotal Fluid Buildup (Hydrocele)
    • Hydrocelectomy
    • Bottle Type Hydrocele Repair
    • Testicular Hydrocele Surgery

    CPT Codes:

    • 55060: Repair of tunica vaginalis hydrocele (Bottle type)

    Also known as:

    • Hydrocele Aspiration
    • Hydrocele Drainage
    • Testicular Fluid Aspiration
    • Scrotal Swelling Drainage

    CPT Codes:

    • 55000: Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication

    Also known as:

    • Injection for Peyronie's Disease
    • Peyronie's Disease Injection Therapy
    • Penile Curvature Injection
    • Xiaflex Injection

    CPT Codes:

    • 54200: Injection Procedure For Peyronie Disease;

    Also known as:

    • Surgical Circumcision (Older Infants/Children/Adults)
    • Adult Circumcision
    • Childhood Circumcision
    • Foreskin Removal Surgery
    • Non-Clamp Circumcision

    CPT Codes:

    • 54161: Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age

    Also known as:

    • Hormone Pellet Implantation
    • Birth Control
    • Hormone Replacement Pellets
    • Estradiol Pellet Insertion
    • Testosterone Pellet Insertion
    • Bioidentical Hormone Pellets

    CPT Codes:

    • 11980: Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)

    Does Dr. Speck accept my insurance?

    Dr. Speck accepts most major insurance plans. Important: Please call our office at before your appointment to verify that your specific plan and network are accepted.

    What insurance plans does Dr. Speck accept in Fredericksburg, TX?

    Dr. Speck in Fredericksburg, TX accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.

    Top Insurances

    • All Other Third Party

    • BCBS Unspecified

    • Blue Cross and Blue Shield of Nebraska

    • CVS Health (formerly Aetna)

    • Department of Defense / Tricare

    • Express Scripts

    • Health Care Service Corporation (HCSC)

    • Humana

    • Medicare

    • State of Tennessee

    View All Insurances

    Where is Dr. Speck's office located?

    Dr. Michael Speck's Primary Practice

    1020 S State Highway 16

    Fredericksburg, TX 78624

    Get Directions

    What is Dr. Speck's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.

    Dr. Speck's National Provider Identifier (NPI) number is 1881733897.

    What common questions do patients ask about Dr. Speck?

    Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Speck

    What is Dr. Michael Speck's specialty?

    Dr. Speck is a Urologist near Fredericksburg, TX. A urologist is a healthcare professional with specialization in managing both benign and malignant medical and surgical disorders of the genitourinary system and adrenal glands. They possess extensive knowledge and skills in endoscopic, percutaneous, and open surgical techniques for addressing congenital and acquired conditions of the urinary and reproductive systems, as well as their associated structures. Contact Dr. Speck to book an appointment today.

    Is this Dr. Michael Speck affiliated with a ranked Castle Connolly Top Hospital?

    Yes, Dr. Speck is affiliated with Shannon Medical Center, Methodist Hospital - San Antonio which are a Castle Connolly Top Hospitals. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals

    Where can I learn more about Urologist?

    Explore Urologist with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.

    Is Michael Speck accepting new patients in Fredericksburg, TX?

    Yes, Dr. Michael Speck is accepting new patients at this time.

    Does Dr. Michael Speck offer online booking?

    Please contact Dr. Speck's office for information about online booking, telehealth, or to schedule an appointment.

    How can I make an appointment with Michael Speck?

    Please contact Dr. Speck's office for information regarding telehealth appointment availability or for scheduling assistance.

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