Physician

Adam Spiegel, D.O.

According to 2025 Medicare claims, Adam Spiegel, D.O. (NPI: 1639317993) practices gastroenterology in the Reading, PA market, with the plurality of this provider's patient population coming from Berks, PA. This provider's primary affiliated billing organization is REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (NPI: 1154422806; TIN: 232812220) and primary practice location at 17601-2644. Spiegel is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Spiegel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 618 traditional Medicare patients, billed 5,482 HCPCS/CPT codes, and received $176,510 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,545 prescription claims across 333 beneficiaries totaling $742,996 in drug costs, led by Linzess (Linaclotide). Open Payments data shows 32 records totaling $474. 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 has changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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.

Year	Patients	Clm Lines	Payment
2015	587	1,180	$139,633
2016	594	4,089	$164,833
2017	667	2,882	$165,854
2018	594	3,553	$190,599
2019	507	5,657	$195,122
2020	426	5,885	$217,660
2021	582	7,400	$212,001
2022	520	3,078	$132,738
2023	591	5,286	$173,885
2024	618	5,482	$176,510

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	279	1,063	$685,085
2016	316	1,249	$544,219
2017	354	1,369	$459,859
2018	351	1,284	$415,470
2019	313	1,341	$237,113
2020	317	1,400	$315,787
2021	290	1,356	$327,209
2022	285	1,373	$568,754
2023	309	1,365	$566,767
2024	333	1,545	$742,996

DME Billing Trend

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

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	157	157	$200
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	137	$82
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	95	95	$73
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	100	106	$60
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	62	$33

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	120	5,940	$101,846
Xifaxan	Rifaximin	17	522	$57,326
Movantik	Naloxegol Oxalate	44	1,740	$22,855
Motegrity	Prucalopride Succinate	20	660	$11,755
Mesalamine	Mesalamine	17	1,170	$8,797

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	32	$474	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Adam Spiegel, D.O.?

Tedicare shows public-source Medicare data for Adam Spiegel, D.O. (NPI 1639317993), 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 Adam Spiegel, D.O. have ACO affiliation data?

Adam Spiegel, D.O. is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019).

What billing organization is linked to Adam Spiegel, D.O.?

Adam Spiegel, D.O. is linked to REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (billing NPI 1154422806) in the available physician profile data.

Does Adam Spiegel, D.O. have Open Payments data?

Adam Spiegel, D.O. has 32 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.