Medicare Enrolled
Dr. Lauren Spiegel, M.D.
Neurology · Morgan Hill, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Spiegel from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Spiegel
Dr. Lauren Spiegel is a neurology specialist in Morgan Hill, CA, with 12 years of NPI registration. Based on federal Medicare data, Dr. Spiegel performed 30,615 Medicare services across 1,379 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spiegel received a total of $28,318 from 61 pharmaceutical and/or device companies across 539 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Spiegel is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 12 years in practice
▲ Top 3% volume in CA
$28,318 industry payments
Medicare Practice Summary
Medicare Utilization ↗30,615
Medicare services
Top 3% in CA for neurology
1,379
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~2,551 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
28,800 | $5 | $15 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
514 | $83 | $325 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
501 | $117 | $460 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
248 | $151 | $585 |
| Neurobehavioral status exam, first hour A clinical assessment of neurobehavioral status lasting one hour. This evaluation examines mental and behavioral functions. |
183 | $85 | $306 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 86 | $85 | $180 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
60 | $160 | $650 |
| Chemical nerve block injection, 1-4 muscles An injection of a chemical agent to paralyze specific muscles in an arm or leg. This procedure targets one to four muscles in the first extremity treated. |
53 | $96 | $350 |
| Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity | 50 | $89 | $235 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
43 | $129 | $602 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
28 | $101 | $397 |
| Chemical nerve block for facial paralysis Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face. |
26 | $199 | $913 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
23 | $34 | $86 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$28,318
Total received (2018-2024)
Avg $4,045/year across 7 years
Top 12% in CA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
61
Companies
539
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,587 (48.0%)
Scientific / Research
Research funding and grants
$11,716 (41.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,888 (10.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$127 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,537
2023
$4,169
2022
$3,808
2021
$3,692
2020
$759
2019
$7,467
2018
$4,887
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
MDD US Operations, LLC
$443
Teva Pharmaceuticals USA, Inc.
$371
ABBVIE INC.
$332
SK Life Science, Inc.
$240
Biogen, Inc.
$212
Alexion Pharmaceuticals, Inc.
$203
Neurocrine Biosciences, Inc.
$186
PFIZER INC.
$144
Boston Scientific Corporation
$125
Corium, LLC
$119
JAZZ PHARMACEUTICALS INC.
$107
Lilly USA, LLC
$100
Acorda Therapeutics, Inc
$92
Kyowa Kirin, Inc.
$83
ARGENX US, INC.
$81
Eisai Inc.
$77
Neurelis, Inc.
$76
Genentech USA, Inc.
$74
Otsuka America Pharmaceutical, Inc.
$70
UCB, Inc.
$70
Octapharma USA, Inc.
$60
Lundbeck LLC
$59
Sumitomo Pharma America, Inc.
$53
Tris Pharma Inc
$43
Amneal Pharmaceuticals LLC
$26
Mallinckrodt Hospital Products Inc.
$26
BANNER LIFE SCIENCES, LLC
$25
Azurity Pharmaceuticals, Inc.
$20
ANI Pharmaceuticals, Inc.
$18
Top 3 companies account for 32.4% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic USA, Inc.
$11,850
Teva Pharmaceuticals USA, Inc.
$1,916
Eisai Inc.
$1,645
EISAI INC.
$1,320
Neurocrine Biosciences, Inc.
$1,172
Boston Scientific Corporation
$743
SK Life Science, Inc.
$709
AbbVie Inc.
$708
Acorda Therapeutics, Inc
$603
MDD US Operations, LLC
$602
ABBVIE INC.
$529
Alexion Pharmaceuticals, Inc.
$503
JAZZ PHARMACEUTICALS INC.
$414
Kyowa Kirin, Inc.
$369
UCB, Inc.
$356
Biogen, Inc.
$329
Medtronic, Inc.
$318
IMPEL PHARMACEUTICALS INC.
$264
Sunovion Pharmaceuticals Inc.
$262
ARGENX US, INC.
$249
PFIZER INC.
$236
Biohaven Pharmaceuticals, Inc.
$225
Sumitomo Pharma America, Inc.
$213
Lilly USA, LLC
$203
BOSTON SCIENTIFIC CORPORATION
$184
Otsuka America Pharmaceutical, Inc.
$174
ACADIA Pharmaceuticals Inc
$164
Biohaven Pharmaceutical Holding Company Ltd.
$156
SI-BONE, INC.
$129
Genentech USA, Inc.
$128
Corium, LLC
$119
Neurelis, Inc.
$109
Avanir Pharmaceuticals, Inc.
$105
Lundbeck LLC
$104
Amneal Pharmaceuticals LLC
$96
GE HealthCare
$84
Adamas Pharmaceuticals, Inc.
$82
Allergan, Inc.
$75
GRT US Holding, Inc.
$69
US WorldMeds, LLC
$69
Greenwich Biosciences, Inc.
$65
ANI Pharmaceuticals, Inc.
$64
Octapharma USA, Inc.
$60
Janssen Pharmaceuticals, Inc
$56
BANNER LIFE SCIENCES, LLC
$52
Exeltis, USA Inc.
$44
Tris Pharma Inc
$43
GE HEALTHCARE
$40
Avion Pharmaceuticals
$37
Life Molecular Imaging Ltd
$33
Averitas Pharma Inc.
$30
Mallinckrodt Hospital Products Inc.
$26
Amgen Inc.
$25
CATALYST PHARMACEUTICALS, INC.
$23
GE Healthcare
$23
Celgene Corporation
$22
ARBOR PHARMACEUTICALS, INC.
$22
Azurity Pharmaceuticals, Inc.
$20
Ultragenyx Pharmaceutical Inc.
$20
Merz Pharmaceuticals, LLC
$18
Impax Laboratories, Inc.
$13
Top 3 companies account for 54.4% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADUHELM · AJOVY · AMYVID · APOKYN · APTIOM · AUSTEDO · Aimovig · Apokyn · Austedo XR · Azstarys · BAFIERTAM · BOTOX · Briviact · COMIRNATY · DAYBUE · DUOPA · Dhivy · Duopa · Dyanavel XR · EMGALITY · EPIDIOLEX · Enspryng · Epidiolex · FIRDAPSE · GENERAL DBS · GENERAL DBS · GENERAL - DBS · GOCOVRI · General - DBS · Gocovri · Horizant · INBRIJA · INGREZZA · KYNMOBI · LONHALA MAGNAIR · Leqembi · NEURACEQ · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · Nuedexta · Ocrevus · Ongentys · PANZYGA · PAXLOVID · PERCEPT PC BRAINSENSE · PURIFIED CORTROPHIN GEL · Percept · Ponvory · QULIPTA · QUTENZA · Qutenza · REXULTI · RYTARY · SKYCLARYS · SOLIRIS · SPECTRA WAVEWRITER · Soliris · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · VALTOCO · VERCISE · VRAYLAR · VYALEV · VYEPTI · VYVGART · VYVGART HYTRULO · Xadago · Xeomin
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (48%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Neurologists within 10 mi
57
Per 100K population
3.0
County median income
$159,674
Nearest hospital
SAN JOSE BEHAVIORAL HEALTH
8.7 mi
8.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Spiegel is a mixed practice specialist, with above-average Medicare volume (top 3% in CA), with mixed engagement industry engagement in the top 12% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Spiegel experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Spiegel performed 28,800 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Spiegel receive payments from pharmaceutical companies?
Yes. Dr. Spiegel received a total of $28,318 from 61 companies across 539 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Spiegel's costs compare to other neurologists in Morgan Hill?
Dr. Spiegel's average Medicare payment per service is $11. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Spiegel) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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