Medicare Enrolled
Dr. Solomon Spiegel, D.O.
Interventional Cardiology · Denton, TX
Practice pattern: Electrophysiology & Cardiac
— Practice combining electrophysiology and cardiac services
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 →
Are you Dr. Spiegel?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Spiegel
Dr. Solomon Spiegel is an interventional cardiology specialist in Denton, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Spiegel performed 4,857 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Spiegel received a total of $6,567 from 38 pharmaceutical and/or device companies across 170 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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.
✓ 14 years of NPI registration
▲ Top 15% volume in TX
$6,567 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,857
Medicare services
Top 15% in TX for interventional cardiology
Not available
Unique patients (not deduplicated)
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
1,077 | $10 | $51 |
| 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. |
636 | $88 | $238 |
| 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. |
423 | $58 | $168 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
393 | $101 | $516 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
376 | $38 | $206 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
365 | $8 | $41 |
| Perflutren lipid microspheres injection Injection of perflutren lipid microspheres, measured per milliliter. |
164 | $34 | $371 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
122 | $58 | $462 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
121 | $47 | $258 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
117 | $328 | $1,599 |
| 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. |
114 | $107 | $310 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
107 | $4 | $26 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
94 | $9 | $128 |
| 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. |
67 | $130 | $335 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
49 | $29 | $361 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
45 | $21 | $109 |
| Cardiac catheterization | 45 | $179 | $1,035 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
44 | $16 | $84 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
37 | $27 | $213 |
| 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. |
32 | $61 | $186 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
31 | $41 | $131 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
29 | $2 | $28 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
29 | $140 | $704 |
| Ultrasound of aorta, vena cava, groin vessels or bypass grafts This procedure uses sound waves to create images of the aorta, vena cava, groin vessels, or bypass grafts. It allows for the visualization of these blood vessels and any surgical grafts. |
29 | $74 | $431 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
28 | $412 | $2,057 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
28 | $8 | $96 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
26 | $48 | $299 |
| 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. |
26 | $73 | $207 |
| 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. |
25 | $100 | $352 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
22 | $70 | $333 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
22 | $14 | $36 |
| New patient office visit, complex (60-74 min) | 19 | $137 | $409 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
18 | $177 | $891 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
16 | $149 | $841 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
15 | $81 | $425 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
14 | $14 | $65 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
14 | $5 | $155 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
14 | $133 | $517 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
13 | $61 | $1,220 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
11 | $82 | $707 |
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. These counts do not measure clinical quality or years of experience.
13.4% high complexity
22.7% medium
64.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,567
Total received (2018-2024)
Avg $938/year across 7 years
Bottom 41% in TX for interventional cardiology
38
Companies
170
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$969
2023
$618
2022
$802
2021
$551
2020
$472
2019
$501
2018
$2,655
Payments by company (2024)
CVRx, Inc.
$236
Endologix LLC
$188
ShockWave Medical, Inc
$177
Novartis Pharmaceuticals Corporation
$81
SANOFI-AVENTIS U.S. LLC
$60
iRhythm Technologies, Inc.
$43
PFIZER INC.
$33
AstraZeneca Pharmaceuticals LP
$31
ATRICURE, INC.
$26
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Medtronic, Inc.
$20
KLS-Martin L.P.
$15
Amgen Inc.
$14
Top 3 companies account for 62.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$1,706
Cardiovascular Systems Inc.
$827
Abbott Laboratories
$465
AstraZeneca Pharmaceuticals LP
$439
Shockwave Medical, Inc
$297
ShockWave Medical, Inc
$294
Novartis Pharmaceuticals Corporation
$236
CVRx, Inc.
$236
Endologix LLC
$188
Philips Electronics North America Corporation
$175
BOSTON SCIENTIFIC CORPORATION
$158
ABIOMED
$125
SANOFI-AVENTIS U.S. LLC
$120
Boehringer Ingelheim Pharmaceuticals, Inc.
$119
Alnylam Pharmaceuticals Inc.
$119
PFIZER INC.
$105
Janssen Pharmaceuticals, Inc
$105
Medtronic, Inc.
$99
DePuy Synthes Sales Inc.
$90
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$87
iRhythm Technologies, Inc.
$77
Potrero Medical, Inc.
$61
Amgen Inc.
$55
ATRICURE, INC.
$50
Astellas Pharma US Inc
$39
AtriCure, Inc.
$38
Baxter Healthcare
$36
E.R. Squibb & Sons, L.L.C.
$32
Otsuka America Pharmaceutical, Inc.
$29
HeartFlow, Inc.
$22
Cardinal Health 200, LLC
$22
Regeneron Healthcare Solutions, Inc.
$21
BIOTRONIK INC.
$21
Lexicon Pharmaceuticals, Inc.
$19
KLS-Martin L.P.
$15
Intact Vascular, Inc.
$14
MEDICOMP INC
$13
Boston Scientific Corporation
$11
Top 3 companies account for 45.7% of all-time payments
Associated products mentioned in payments ›
(5027) Intact Vascular Und · (6342) Intrasight Integ · (6577) Visions 014 · ABRE · AMPLATZER AMULET · ANGIOJET · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2) · ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM · Advisa · Asahi Fielder coronary guide wire · Azure · BRILINTA · Barostim Neo System · CAMZYOS · CONFIRM RX · CardioMEMS HF System · CoreValve Evolut · Coronary Orbital Atherectomy System · Diamondback Peripheral · ELIQUIS · ELUVIA · EMBOGUARD · ENDOCROSS Device · ENTRESTO · FARXIGA · FFRct · GENERAL VASCULAR ACCESS · HAWKONE · HawkOne · HeartMate · Hillrom - Cardiac Ambulatory Monitor · Hillrom - Carnation Ambulatory Monitor · IGT Devices Und · IN.PACT Admiral · Impella · Inpefa · Integrity · JARDIANCE · JETSTREAM · LEQVIO · LEXISCAN · LifeVest · MULTAQ · ONPATTRO · PRALUENT ALIROCUMAB INJECTION · Peripheral Orbital Atherectomy System · Protege RX · RESOLUTE ONYX · Repatha · Resolute · SAMSCA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Supera peripheral stent system · TELEPATCH CARDIAC MONITOR · TELESCOPE · Tack Endovascular System · Torus Stent Graft System · Tryton Side Branch Stent · VYNDAQEL · Vascular Lithotripsy · XARELTO · ZIO XT Patch
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Interventional cardiologists in nearby ZIP areas
30
County median income
$108,185
Nearest hospital to ZIP centroid (approximate)
MEDICAL CITY DENTON
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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 an electrophysiology & cardiac specialist, with above-average Medicare volume (top 15% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Spiegel experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Spiegel performed 1,077 electrocardiogram (ekg), 12-lead services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Spiegel receive payments from pharmaceutical companies?
Yes. Dr. Spiegel received a total of $6,567 from 38 companies across 170 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 interventional cardiologists in Denton?
Dr. Spiegel's average Medicare payment per service is $58. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Same specialty & city
Interventional Cardiologists in Denton
Browse interventional cardiologists in Denton ranked by procedure volume and transparency data.
Highest volume
Top Interventional Cardiologists in TX
Interventional cardiologists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Interventional Cardiologists in TX
Which TX interventional cardiologists receive the most from drug and device companies.
By company
Medtronic Vascular, Inc. Payments to Doctors
See all physicians who received payments from Medtronic Vascular, Inc.
By company
Cardiovascular Systems Inc. Payments to Doctors
See all physicians who received payments from Cardiovascular Systems Inc.
By company
Abbott Laboratories Payments to Doctors
See all physicians who received payments from Abbott Laboratories.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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