Physician

Andrew Henican Spangler, MD

According to 2025 Medicare claims, Andrew Spangler, MD (NPI: 1578944013) practices nephrology in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is W SCOTT MOORE ET AL PTR (NPI: 1275580854; TIN: 56-1573039) and primary practice location at 27103-3013.

Spangler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 447 traditional Medicare patients, billed 1,172 HCPCS/CPT codes, and received $110,466 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 1,887 prescription claims across 381 beneficiaries totaling $544,690 in drug costs, led by Farxiga (Dapagliflozin Propanediol). 2020 DME data shows 33 claims. Open Payments data shows 112 records totaling $2,014. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $3,741 to $544,690. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$86K$172K2020 Medicare payment: $93,313 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $171,869 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,889 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $117,331 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $110,466 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020404673$93,313
20215661,291$171,869
20225071,071$134,889
20234661,007$117,331
20244471,172$110,466

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$272K$545K2017 Drug cost: $3,741 (USD; Tot_Drug_Cst)2018 Drug cost: $3,844 (USD; Tot_Drug_Cst)2019 Drug cost: $12,928 (USD; Tot_Drug_Cst)2020 Drug cost: $34,784 (USD; Tot_Drug_Cst)2021 Drug cost: $203,567 (USD; Tot_Drug_Cst)2022 Drug cost: $434,376 (USD; Tot_Drug_Cst)2023 Drug cost: $493,691 (USD; Tot_Drug_Cst)2024 Drug cost: $544,690 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R20$3,741
20181318$3,844
20192563$12,928
2020158395$34,784
20214012,123$203,567
20224022,223$434,376
20234062,185$493,691
20243811,887$544,690

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$534$1.1K2020 Medicare payment: $1,068 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R33$1,068
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
90960Dialysis services, 4 or more physician visits per month (20 years or older)155192$263
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more5353$155
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes73228$58
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more169256$54
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's150182$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol2078,854$165,565
JardianceEmpagliflozin1135,690$109,942
XphozahTenapanor Hcl12420$40,312
DapagliflozinDapagliflozin Propanediol21630$10,726
Sevelamer CarbonateSevelamer Carbonate221,200$3,572

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.112$2,014AstraZeneca Pharmaceuticals LP
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Andrew Henican Spangler, MD?

Tedicare shows public-source Medicare data for Andrew Henican Spangler, MD (NPI 1578944013), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Andrew Henican Spangler, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Andrew Henican Spangler, MD?

Andrew Henican Spangler, MD is linked to W SCOTT MOORE ET AL PTR (billing NPI 1275580854) in the available physician profile data.

Does Andrew Henican Spangler, MD have Open Payments data?

Andrew Henican Spangler, MD has 112 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.