Medicare Enrolled
Dr. Jeffrey Spier, M.D.
Optician · El Paso, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Spier 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. Spier
Dr. Jeffrey Spier is an optician specialist in El Paso, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Spier performed 3,267 Medicare services across 2,319 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spier received a total of $52,942 from 49 pharmaceutical and/or device companies across 471 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. 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. This is not a quality rating. 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 TX
$52,942 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,267
Medicare services
Top 21% in TX for optician
2,319
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~172 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 |
|---|---|---|---|
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
1,133 | $3 | $20 |
| 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. |
492 | $92 | $200 |
| 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. |
337 | $63 | $150 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
283 | $8 | $45 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
172 | $33 | $95 |
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
167 | $34 | $85 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
110 | $178 | $400 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
107 | $80 | $274 |
| Catheter specimen collection A procedure to collect a specimen using a catheter. This service is available in all places of service. |
71 | $8 | $18 |
| 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. |
65 | $107 | $265 |
| 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. |
40 | $62 | $175 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
30 | $19 | $80 |
| 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. |
27 | $11 | $35 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
24 | $85 | $584 |
| Staphylococcus aureus DNA test A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample. |
23 | $34 | $85 |
| Group B Strep DNA test A laboratory test that uses DNA amplification to detect the presence of Group B Streptococcus bacteria. |
23 | $34 | $85 |
| Injection, garamycin, gentamicin, up to 80 mg | 20 | $2 | $5 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
19 | $54 | $182 |
| VRE nucleic acid detection test A laboratory test that uses amplified probe techniques to detect vancomycin-resistant Enterococcus (VRE) DNA in a patient sample. |
18 | $34 | $85 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
16 | $163 | $520 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
16 | $107 | $325 |
| Insertion of temporary bladder tube | 14 | $32 | $130 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
12 | $332 | $1,146 |
| MRSA nucleic acid detection test A laboratory test that uses amplified probe techniques to detect the genetic material of methicillin-resistant Staphylococcus aureus (MRSA) bacteria. |
12 | $34 | $85 |
| Strep A nucleic acid test, quantification A laboratory test that uses nucleic acid detection to identify and measure the amount of Group A Streptococcus bacteria. |
12 | $41 | $85 |
| Nucleic acid test for organism quantification A laboratory test that uses nucleic acid detection to measure the amount of a specific organism present in a sample. |
12 | $42 | $85 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
12 | $63 | $146 |
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.
3.3% high complexity
15.3% medium
81.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$52,942
Total received (2018-2024)
Avg $7,563/year across 7 years
Top 5% in TX for optician
49
Companies
471
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$39,555 (74.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,740 (24.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$648 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$23,593
2023
$5,969
2022
$1,315
2021
$7,779
2020
$3,907
2019
$5,346
2018
$5,033
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$15,718
Bayer HealthCare Pharmaceuticals Inc.
$8,950
Janssen Biotech, Inc.
$6,157
Siemens Medical Solutions USA, Inc.
$5,571
Janssen Scientific Affairs, LLC
$3,002
Progenics Pharmaceuticals, Inc.
$2,754
Janssen Global Services, LLC
$2,020
Astellas Pharma US Inc
$1,353
Axonics, Inc.
$862
Dendreon Pharmaceuticals LLC
$622
Coloplast Corp
$539
Merck Sharp & Dohme LLC
$494
Bayer Healthcare Pharmaceuticals Inc.
$414
Amgen Inc.
$342
Sumitomo Pharma America, Inc.
$315
PFIZER INC.
$311
AstraZeneca Pharmaceuticals LP
$302
Ferring Pharmaceuticals Inc.
$288
ABBVIE INC.
$260
AbbVie Inc.
$220
GENZYME CORPORATION
$192
AbbVie, Inc.
$191
Verity Pharmaceuticals Inc.
$177
Valencia Technologies Corporation
$154
Antares Pharma, Inc.
$148
SUN PHARMACEUTICAL INDUSTRIES INC.
$146
Myriad Genetic Laboratories, Inc.
$139
Roche Diagnostics Corporation
$131
Medtronic USA, Inc.
$128
Novartis Pharmaceuticals Corporation
$123
Teleflex LLC
$116
Janssen Products, LP
$100
GE HEALTHCARE
$89
IMMUNITYBIO, INC.
$70
UROVANT SCIENCES INC
$66
UroGen Pharma, Inc.
$63
Calyxo, Inc.
$55
Caldera Medical, Inc
$51
Profound Medical Corp.
$50
PROCEPT BioRobotics Corporation
$46
Allergan Inc.
$35
ACCORD HEALTHCARE, INC.
$29
Integra GPO, LLC
$29
Dornier MedTech America, Inc
$28
Blue Earth Diagnostics Limited
$27
Telix Pharmaceuticals
$26
Tolmar, Inc.
$19
Endo Pharmaceuticals Inc.
$14
Janssen Pharmaceuticals, Inc
$9
Top 3 companies account for 58.2% of total payments
Associated products mentioned in payments ›
ADSTILADRIN · ALTIS · AMS 700 · AMS 700 CXR RTE Kit · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · AVYCAZ · Axonics · Axonics r-SNM System · Axumin · BOTOX · Biograph Horizon-3R · Bulkamid · CAMCEVI · CVAC ASPIRATION SYSTEM · Desara · Dornier MedTech · ELIGARD · ERLEADA · Erleada · Flexiva · GEMTESA · GENERAL BPH · GENERAL THERAPIES · GENERAL - THERAPIES · ILLUCCIX · INTERSTIM · JELMYTO · JEVTANA · KEYTRUDA · LITHOVUE · LUPRON DEPOT · LYNPARZA · LithoVue · Lupron · Lupron Depot · Lupron Depot-PED · MYRBETRIQ · Myrbetriq · NOCDURNA · Nubeqa · ORGOVYX · PLUVICTO · PROLARIS · PROVENGE · PYLARIFY · Prolaris · Prolia · Rezum Generator · SUTENT · SpaceOAR System · TEFLARO · TITAN · TRIA · Trelstar · TrueBeam · Tulsa-Pro · UROLIFT · VESICARE · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · YONSA · ZYTIGA · eCoin Device Kit
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 (75%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for optician in TX.
Equivalent to $1,621 per 100 Medicare services performed
Geographic Context
Opticians within 10 mi
80
Per 100K population
9.2
County median income
$58,859
Nearest hospital
RIO VISTA BEHAVIORAL HEALTH
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Spier is a clinical cardiology specialist, with above-average Medicare volume (top 21% in TX), with consulting-driven industry engagement in the top 5% of TX peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Spier experienced with urinalysis with microscopic exam?
Based on Medicare claims data, Dr. Spier performed 1,133 urinalysis with microscopic exam 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. Spier receive payments from pharmaceutical companies?
Yes. Dr. Spier received a total of $52,942 from 49 companies across 471 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. Spier's costs compare to other opticians in El Paso?
Dr. Spier's average Medicare payment per service is $42. 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. Spier) 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. The Transparency Score measures 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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