Dr. Laurence Spier, M.D.
What this data tells you about Dr. Spier
Dr. Laurence Spier is a thoracic surgery specialist in Great Neck, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Spier performed 725 Medicare services across 703 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spier received a total of $144,345 from 11 pharmaceutical and/or device companies across 268 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in thoracic surgery. 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. Spier 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| New patient office visit, complex (60-74 min) | 105 | $204 | $1,065 |
| Bronchoscopy A diagnostic exam of the lung airways using an endoscope to visually inspect the inside of the lungs and airways. |
82 | $64 | $3,738 |
| Endoscopic removal of chest lymph nodes A surgical procedure to remove lymph nodes from the chest cavity using an endoscope, a thin tube with a camera inserted through small incisions. |
79 | $218 | $2,307 |
| 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. |
73 | $82 | $375 |
| 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. |
46 | $106 | $560 |
| Lung exam with lobe removal via endoscope This procedure involves examining the lung and removing a lobe using an endoscope. It is performed to inspect the lung tissue and surgically remove a section of the lung. |
42 | $1,391 | $12,065 |
| Initial removal of wedge of lung tissue using an endoscope A surgical procedure to remove a small, wedge-shaped section of lung tissue using an endoscope. This minimally invasive technique allows for tissue sampling or removal without large incisions. |
37 | $647 | $9,454 |
| 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. |
35 | $158 | $997 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
31 | $42 | $359 |
| Endoscopic removal of lung tissue segment This procedure involves removing a section of lung tissue using an endoscope, a thin tube with a camera inserted into the body. |
26 | $1,315 | $14,783 |
| Lung lining biopsy via endoscope A procedure to remove a small tissue sample from the lining of the lung using an endoscope for examination. |
24 | $257 | $2,841 |
| Partial removal of chest cavity lining and lung lining using an endoscope | 24 | $785 | $9,430 |
| Insertion of chest tube for lung fluid drainage A procedure to place a tube into the chest cavity to drain excess fluid from around the lungs. |
23 | $197 | $8,574 |
| Lung wedge biopsy and partial lung removal A surgical procedure involving the removal of a small wedge of lung tissue for examination, followed by the partial removal of the lung. |
21 | $159 | $1,697 |
| 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. |
21 | $115 | $550 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
20 | $169 | $745 |
| Additional lung tissue removal via endoscope This procedure involves the removal of an additional wedge of lung tissue using an endoscope. It is billed for each additional tissue sample taken beyond the initial removal. |
19 | $159 | $1,684 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
17 | $30 | $275 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
All-time payments by company (2018-2024) ›
Associated products mentioned in payments ›
The majority of payments (93%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in thoracic surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 6% for thoracic surgery in NY.
Geographic Context
2.3 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. Spier is a clinical cardiology specialist, with above-average Medicare volume (top 10% in NY), with speaking/promotional industry engagement in the top 6% of NY peers, with 20 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. Spier experienced with new patient office visit, complex (60-74 min)?
Does Dr. Spier receive payments from pharmaceutical companies?
How do Dr. Spier's costs compare to other thoracic surgerists in Great Neck?
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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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