Medicare Enrolled
Dr. Warren Spinner, D.O.
Neurology · Port Jefferson Station, NY
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Spinner 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. Spinner
Dr. Warren Spinner is a neurology specialist in Port Jefferson Station, NY, with 18 years of NPI registration. Based on federal Medicare data, Dr. Spinner performed 32,924 Medicare services across 3,219 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spinner received a total of $802,446 from 88 pharmaceutical and/or device companies across 1777 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Spinner 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.
✓ 18 years in practice
▲ Top 2% volume in NY
$802,446 industry payments
Medicare Practice Summary
Medicare Utilization ↗32,924
Medicare services
Top 2% in NY for neurology
3,219
Unique beneficiaries
$15
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,829 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. |
18,131 | $5 | $31 |
| Botox injection (Xeomin), per unit An injection of incobotulinumtoxin A, a botulinum toxin type A product, administered in a quantity of one unit. |
7,933 | $4 | $16 |
| 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. |
667 | $111 | $1,223 |
| 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. |
607 | $82 | $879 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
548 | $4 | $21 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
529 | $0 | $1 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
402 | $62 | $635 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
390 | $19 | $198 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
379 | $1 | $3 |
| Anti-nausea injection (ondansetron/Zofran) | 232 | $0 | $1 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
170 | $46 | $539 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
149 | $0 | $3 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
144 | $116 | $1,193 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
144 | $33 | $331 |
| Magnesium sulfate injection, per 500 mg An injection of magnesium sulfate administered in 500 mg increments. |
144 | $1 | $2 |
| Psychological test administration, each additional 30 minutes A technician administers psychological or neuropsychological testing. This code covers each additional 30-minute increment of administration time. |
141 | $34 | $330 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
123 | $1 | $10 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
122 | $15 | $222 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
119 | $157 | $1,574 |
| 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. |
118 | $153 | $2,006 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
105 | $12 | $204 |
| Bupivacaine injection, 0.5 mg An injection of bupivacaine, a local anesthetic, administered in a dose of 0.5 mg. |
100 | $0 | $250 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 94 | $73 | $691 |
| Abnormal eye movement test with recording A test that records and evaluates eye movements to check for abnormalities. |
86 | $23 | $550 |
| Abnormal eye movement test with recording A test that records eye movements in three different positions to check for abnormalities. |
86 | $26 | $563 |
| Abnormal eye movement test with moving target recording This test evaluates eye movements by tracking them while the patient focuses on a moving target. The results are recorded for analysis. |
86 | $17 | $550 |
| 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. |
83 | $105 | $1,106 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
80 | $67 | $963 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 80 | $52 | $920 |
| 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. |
70 | $173 | $1,251 |
| 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. |
66 | $131 | $1,389 |
| EEG brain wave monitoring, 2-12 hours This procedure involves monitoring and recording electrical activity in the brain over a period of 2 to 12 hours. It is used to track brain wave patterns during the specified duration. |
65 | $109 | $1,917 |
| Suprascapular nerve injection An injection of anesthetic and/or steroid medication into the suprascapular nerve in the shoulder area. |
60 | $100 | $1,362 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
60 | $93 | $810 |
| Injection, eptinezumab-jjmr, 1 mg | 52 | $0 | $0 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
50 | $85 | $720 |
| Facial nerve injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the facial nerve. This procedure delivers medication directly to the nerve. |
45 | $135 | $964 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
45 | $36 | $474 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep. |
42 | $63 | $1,754 |
| 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. |
41 | $118 | $955 |
| Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity | 39 | $93 | $877 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
39 | $1 | $12 |
| Chemical nerve block for facial paralysis Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face. |
37 | $177 | $1,367 |
| EEG monitoring, 2-12 hours with review This procedure records brain wave activity for 2 to 12 hours. A healthcare professional reviews the data and provides a report. |
35 | $91 | $2,700 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
35 | $83 | $534 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
34 | $118 | $1,038 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
22 | $49 | $484 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
19 | $1 | $5 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
18 | $110 | $7,574 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
17 | $128 | $7,167 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
15 | $198 | $2,060 |
| Nerve conduction studies, 11-12 A diagnostic test that measures how well nerves send electrical signals. It involves performing 11 to 12 separate nerve conduction studies. |
14 | $232 | $2,409 |
| 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. |
12 | $154 | $1,740 |
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.
3.6% high complexity
88.5% medium
7.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$802,446
Total received (2018-2024)
Avg $114,635/year across 7 years
Top 1% in NY for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
88
Companies
1,777
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
$784,051 (97.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$18,396 (2.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$111,527
2023
$114,875
2022
$146,565
2021
$134,015
2020
$93,534
2019
$104,999
2018
$96,931
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$85,503
Lundbeck LLC
$21,886
E.R. Squibb & Sons, L.L.C.
$2,094
Medtronic, Inc.
$300
PFIZER INC.
$290
HARMONY BIOSCIENCES LLC
$195
SCILEX PHARMACEUTICALS INC.
$185
Novartis Pharmaceuticals Corporation
$179
Octapharma USA, Inc.
$165
EMD Serono, Inc.
$90
Takeda Pharmaceuticals U.S.A., Inc.
$83
Biogen, Inc.
$71
ZOLL Respicardia, Inc.
$70
ARGENX US, INC.
$48
Amgen Inc.
$47
Amneal Pharmaceuticals LLC
$44
ACADIA Pharmaceuticals Inc
$33
Inspire Medical Systems, Inc.
$28
SK Life Science, Inc.
$28
Axsome Therapeutics, Inc.
$26
UCB, Inc.
$26
Microtransponder, Inc.
$25
TG Therapeutics, Inc.
$25
Ipsen Biopharmaceuticals, Inc
$24
Alnylam Pharmaceuticals Inc.
$23
Neurocrine Biosciences, Inc.
$23
PROTEGA PHARMACEUTIALS INC
$16
Top 3 companies account for 98.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$185,926
Amgen Inc.
$144,387
AbbVie Inc.
$117,573
Teva Pharmaceuticals USA, Inc.
$109,531
Allergan, Inc.
$80,190
Lundbeck LLC
$59,128
Biohaven Pharmaceuticals, Inc.
$37,887
Merz North America, Inc.
$16,049
Biohaven Pharmaceutical Holding Company Ltd.
$12,602
Assertio Therapeutics, Inc.
$9,017
Supernus Pharmaceuticals, Inc.
$8,047
Promius Pharma LLC
$4,243
E.R. Squibb & Sons, L.L.C.
$2,094
Medtronic, Inc.
$1,583
Biogen, Inc.
$1,031
Allergan Inc.
$955
Novartis Pharmaceuticals Corporation
$837
Harmony Biosciences LLC
$809
Sunovion Pharmaceuticals Inc.
$748
PFIZER INC.
$660
Alexion Pharmaceuticals, Inc.
$615
MDD US Operations, LLC
$578
UCB, Inc.
$488
Amneal Pharmaceuticals LLC
$470
Neurocrine Biosciences, Inc.
$456
Horizon Therapeutics plc
$395
Lilly USA, LLC
$364
Ipsen Biopharmaceuticals, Inc
$285
Grifols USA, LLC
$280
SK Life Science, Inc.
$277
Boston Scientific Corporation
$250
Jazz Pharmaceuticals Inc.
$226
HARMONY BIOSCIENCES LLC
$226
Medtronic USA, Inc.
$226
US WorldMeds, LLC
$219
JAZZ PHARMACEUTICALS INC.
$213
Genentech USA, Inc.
$212
SCILEX PHARMACEUTICALS INC.
$209
EMD Serono, Inc.
$206
Scilex Pharmaceuticals Inc.
$193
Avanir Pharmaceuticals, Inc.
$177
Octapharma USA, Inc.
$165
Egalet US Inc
$155
Relievant Medsystems, Inc.
$151
Nevro Corp.
$139
Merz Pharmaceuticals, LLC
$122
Takeda Pharmaceuticals U.S.A., Inc.
$121
ASSERTIO THERAPEUTICS, Inc.
$113
GENZYME CORPORATION
$90
Almatica Pharma LLC
$84
Collegium Pharmaceutical, Inc.
$83
AstraZeneca Pharmaceuticals LP
$77
ARBOR PHARMACEUTICALS, INC.
$76
ARGENX US, INC.
$74
ACADIA Pharmaceuticals Inc
$71
ZOLL Respicardia, Inc.
$70
Merck Sharp & Dohme LLC
$57
Zyla Life Sciences
$56
Axsome Therapeutics, Inc.
$56
LivaNova USA, Inc.
$52
Upsher-Smith Laboratories LLC
$51
MERZ NORTH AMERICA, INC.
$48
Alnylam Pharmaceuticals Inc.
$45
TG THERAPEUTICS, INC.
$43
Adamas Pharmaceuticals, Inc.
$40
CATALYST PHARMACEUTICALS, INC.
$40
Arbor Pharmaceuticals, Inc.
$38
Zyla Life Sciences, Inc.
$38
Eisai Inc.
$36
Impax Laboratories, Inc.
$36
Daiichi Sankyo Inc.
$30
Inspire Medical Systems, Inc.
$28
Abbott Laboratories
$28
Microtransponder, Inc.
$25
GE HEALTHCARE
$25
TG Therapeutics, Inc.
$25
Kyowa Kirin, Inc.
$20
Catalyst Pharmaceuticals, Inc.
$20
IMPEL PHARMACEUTICALS INC.
$20
Vanda Pharmaceuticals Inc.
$18
UPSHER-SMITH LABORATORIES LLC
$17
GE Healthcare
$17
Bausch Health US, LLC
$16
Acorda Therapeutics, Inc
$16
PROTEGA PHARMACEUTIALS INC
$16
Mallinckrodt LLC
$15
Akcea Therapeutics, Inc.
$14
Forte Bio-Pharma LLC
$10
Top 3 companies account for 55.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADUHELM · AIMOVIG · AJOVY · AMVUTTRA · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Aduhelm · Aimovig · BELSOMRA · BOTOX · BOTOX COSMETIC · BOTOX THERAPEUTIC · BRILINTA · BRIUMVI · Briviact · CAMBIA · COMIRNATY · Cambia · DUEXIS · DYSPORT · Dysport · EMGALITY · FIRDAPSE · FYCOMPA · Fintepla · Fycompa · GILENYA · GOCOVRI · GRALISE · Gamunex-C · Gralise · HYQVIA · Hetlioz · Horizant · INBRIJA · INGREZZA · INSPIRE · INTELLIS · Intracept · KESIMPTA · LEMTRADA · LINZESS · LYRICA · LYVISPAH · MAVENCLAD · MIGRANAL · MOVANTIK · MYOBLOC · Mavenclad · Morphabond ER · NALOCET · NORTHERA · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONPATTRO · OXAYDO · Ongentys · PANZYGA · PAXLOVID · PERCEPT PC BRAINSENSE · QUDEXY XR TOPIRAMATE EXTENDED RELEASE CAPSULES · QULIPTA · RESTORE · REXULTI · ROXYBOND · RYTARY · Rystiggo · SCS IPGs · SOLIRIS · SPRIX · SUNOSI · SYNCHROMEDII · Senza Spinal Cord Stimulation System · Soliris · Sunosi · TECFIDERA · TEGSEDI · TOPIRAMATE Extended Release Capsules · TRINTELLIX · TROKENDI XR · TYSABRI · Trintellix · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VNS Therapy · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · WAKIX · WATCHMAN · Wakix · XCOPRI · XEOMIN · XTAMPZA · XYREM · XYWAV · Xadago · Xeomin · Xtampza ER · Xyrem · ZEMBRACE SYMTOUCH · ZOMIG · ZTLido · Zembrace · Zipsor · remede System
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 (98%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for neurology in NY.
Geographic Context
Neurologists within 10 mi
144
Per 100K population
9.4
County median income
$128,329
Nearest hospital
JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
3.1 mi
3.1 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. Spinner is a mixed practice specialist, with above-average Medicare volume (top 2% in NY), with speaking/promotional industry engagement in the top 1% of NY peers, with 18 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. Spinner experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Spinner performed 18,131 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. Spinner receive payments from pharmaceutical companies?
Yes. Dr. Spinner received a total of $802,446 from 88 companies across 1,777 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. Spinner's costs compare to other neurologists in Port Jefferson Station?
Dr. Spinner's average Medicare payment per service is $15. 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. Spinner) 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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