Medicare Enrolled

Dr. Chad Spangler, M.D.

Gastroenterology · Lake Barrington, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
22285 N PEPPER RD, Lake Barrington, IL 60010
8473824410
In practice since 2006 (19 years)
NPI: 1073625562 verify on NPPES ↗
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. Spangler 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 →
Are you Dr. Spangler? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Spangler

Dr. Chad Spangler is a gastroenterology specialist in Lake Barrington, IL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Spangler performed 1,077 Medicare services across 927 unique beneficiaries.

Between the years covered by Open Payments, Dr. Spangler received a total of $43,660 from 39 pharmaceutical and/or device companies across 324 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Spangler 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.

✓ 19 years in practice ▲ Top 21% volume in IL $43,660 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,077
Medicare services
Top 21% in IL for gastroenterology
927
Unique beneficiaries
$125
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~57 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
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
315 $63 $192
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.
225 $96 $286
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
116 $104 $366
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.
67 $124 $301
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
53 $413 $1,500
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.
45 $68 $195
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
39 $304 $1,500
Endoscopic ultrasound-guided needle biopsy
A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel.
34 $218 $1,200
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
30 $250 $1,350
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
24 $67 $273
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
21 $349 $1,400
Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm
A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length.
18 $95 $1,600
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
15 $88 $1,200
Endoscopic control of upper GI bleeding
A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine.
14 $161 $1,800
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.
14 $84 $200
Endoscopic removal of bile or pancreatic duct stone
A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts.
12 $189 $1,417
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
12 $140 $1,400
Radiologist review of bile duct tube placement imaging
A radiologist reviews images taken during the placement of a tube into the bile duct using an endoscope.
12 $19 $350
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
11 $96 $278
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 ↗
$43,660
Total received (2018-2024)
Avg $6,237/year across 7 years
Top 9% in IL for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
324
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$38,768 (88.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,892 (11.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,169
2023
$891
2022
$775
2021
$485
2020
$6,115
2019
$18,829
2018
$15,395

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$242
Janssen Biotech, Inc.
$144
GENZYME CORPORATION
$120
Takeda Pharmaceuticals U.S.A., Inc.
$113
VIVUS LLC
$55
Lilly USA, LLC
$53
Gilead Sciences, Inc.
$49
Madrigal Pharmaceuticals
$46
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$43
Merck Sharp & Dohme LLC
$42
Biocon Biologics Inc
$40
Celgene Corporation
$32
Regeneron Healthcare Solutions, Inc.
$32
PFIZER INC.
$32
Intercept Pharmaceuticals, Inc.
$29
ABIOMED
$29
Ipsen Biopharmaceuticals, Inc
$26
Ardelyx, Inc.
$24
Braintree Laboratories, Inc.
$21
Top 3 companies account for 43.2% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie, Inc.
$32,710
AbbVie Inc.
$6,198
Saranas, Inc.
$542
Takeda Pharmaceuticals U.S.A., Inc.
$478
ABBVIE INC.
$394
Janssen Biotech, Inc.
$352
PFIZER INC.
$298
GENZYME CORPORATION
$291
UCB, Inc.
$223
Celgene Corporation
$200
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$188
Gilead Sciences, Inc.
$149
Apollo Endosurgery US Inc
$136
Aries Pharmaceuticals, Inc.
$121
Merck Sharp & Dohme Corporation
$109
Braintree Laboratories, Inc.
$106
Boston Scientific Corporation
$98
Mauna Kea Technologies, Inc.
$97
QOL Medical, LLC
$92
Ferring Pharmaceuticals Inc.
$82
Romark Laboratories, LC
$78
Ironwood Pharmaceuticals, Inc
$72
Regeneron Healthcare Solutions, Inc.
$71
Merck Sharp & Dohme LLC
$59
VIVUS LLC
$55
Lilly USA, LLC
$53
Ardelyx, Inc.
$48
Madrigal Pharmaceuticals
$46
E.R. Squibb & Sons, L.L.C.
$45
Intercept Pharmaceuticals, Inc.
$42
Biocon Biologics Inc
$40
Fresenius Kabi USA, LLC
$33
ABIOMED
$29
Allergan Inc.
$28
Ipsen Biopharmaceuticals, Inc
$26
Prometheus Laboratories Inc.
$25
Nestle HealthCare Nutrition Inc.
$22
Synergy Pharmaceuticals Inc
$14
Shionogi Inc
$13
Top 3 companies account for 90.4% of all-time payments
Associated products mentioned in payments ›
Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · Axios · CLENPIQ · Cimzia · Creon · DIFICID · DUPIXENT · ELEVIEW · ENTYVIO · Entyvio · GATTEX · HUMIRA · Hulio · Humira · IBSRELA · IQIRVO · Impella · LINZESS · Linzess · MAVYRET · Mavyret · Mulpleta · OCALIVA · OMVOH · OverStitch Endoscopic Suturing System · PANCREAZE · PREPOPIK · REMICADE · RESMETIROM · RESOLUTION CLIP · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · SUTAB · Sucraid · TREMFYA · TRULANCE · Trulance · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
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 →

The majority of payments (89%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for gastroenterology in IL.

Looking for a gastroenterology specialist in Lake Barrington?
Compare gastroenterologists in the Lake Barrington area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
212
Per 100K population
4.1
County median income
$81,797
Nearest hospital
ADVOCATE GOOD SHEPHERD HOSPITAL
0.0 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. Spangler is a clinical cardiology specialist, with above-average Medicare volume (top 21% in IL), with speaking/promotional industry engagement in the top 9% of IL peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Spangler experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Spangler performed 315 hospital follow-up visit, moderate complexity 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. Spangler receive payments from pharmaceutical companies?
Yes. Dr. Spangler received a total of $43,660 from 39 companies across 324 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. Spangler's costs compare to other gastroenterologists in Lake Barrington?
Dr. Spangler's average Medicare payment per service is $125. 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. Spangler) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →