Medicare Enrolled

Dr. Jeffrey Spier, M.D.

Optician · El Paso, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
7420 REMCON CIR, El Paso, TX 79912
9155328823
In practice since 2006 (19 years)
NPI: 1033222906 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. 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 →
Are you Dr. Spier? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Spier

Dr. Jeffrey Spier is an optician in El Paso, TX, with 19 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Urinalysis with microscopic exam1,133$3$20
Office visit, established patient (30-39 min)492$92$200
Office visit, established patient (20-29 min)337$63$150
Bladder ultrasound after voiding283$8$45
Office visit, established patient (10-19 min)172$33$95
Infectious disease DNA/RNA test167$34$85
Diagnostic exam of bladder and urethra using an endoscope110$178$400
Complete ultrasound scan behind abdominal cavity107$80$274
Catheterization for collection of specimen, single patient, all places of service71$8$18
New patient office visit (45-59 min)65$107$265
New patient office visit (30-44 min)40$62$175
Imaging of urinary tract following injection of a contrast agent30$19$80
Drug injection, under skin or into muscle27$11$35
Insertion of stent in ureter using an endoscope24$85$584
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique23$34$85
Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique23$34$85
Injection, garamycin, gentamicin, up to 80 mg20$2$5
Simple bladder irrigation and/or instillation19$54$182
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique18$34$85
Biopsy of prostate gland16$163$520
Ultrasound scan of pelvic region through rectum16$107$325
Insertion of temporary bladder tube14$32$130
Crushing of stone of ureter with insertion of stent using an endoscope12$332$1,146
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique12$34$85
Detection test by nucleic acid for strep (streptococcus, group a), quantification12$41$85
Detection test by nucleic acid for organism, quantification12$42$85
Telephone medical discussion with physician, 11-20 minutes12$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
Looking for a optician in El Paso?
Compare opticians in the El Paso area by procedure volume, costs, and industry payment transparency.
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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

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (consulting-driven, top 5%), with 19 years of practice experience.

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 →
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.

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 →