Dr. Gary Spiegel, M.D.
What this data tells you about Dr. Spiegel
Dr. Gary Spiegel is a neuroradiology physician in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Spiegel performed 2,705 Medicare services across 2,601 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spiegel received a total of $4,171 from 12 pharmaceutical and/or device companies across 87 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neuroradiology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. 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 |
|---|---|---|---|
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
460 | $55 | $460 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
362 | $32 | $225 |
| CT scan of head blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the head. |
295 | $65 | $428 |
| CT scan of neck blood vessels with contrast A computed tomography scan that uses dye to visualize the blood vessels in the neck. This imaging test helps examine the structure and flow within the neck's vascular system. |
285 | $62 | $429 |
| MRI of brain with and without contrast An MRI scan of the brain using contrast dye both before and after administration to provide detailed images of brain structures. |
269 | $85 | $725 |
| CT brain blood flow, volume, and timing with contrast A CT scan that uses contrast dye to analyze blood flow, volume, and timing within the brain. |
152 | $176 | $1,100 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
137 | $55 | $360 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
118 | $54 | $388 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
67 | $9 | $53 |
| MRI of upper spine with and without contrast An MRI scan of the upper spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
59 | $83 | $621 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
48 | $8 | $58 |
| MRI of lower spine with and without contrast An MRI scan of the lower spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
47 | $83 | $571 |
| MRI of head blood vessels without contrast An MRI scan that creates detailed images of the blood vessels in the head without using contrast dye. |
45 | $45 | $291 |
| MRI of spinal canal with and without contrast A magnetic resonance imaging scan of the central spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
43 | $84 | $622 |
| X-ray of spine, 1 view A single-view X-ray image of the spine to visualize the bones and alignment. |
42 | $6 | $38 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
39 | $53 | $389 |
| CT scan of lower spine, without contrast A computed tomography scan that creates detailed images of the lower spine using X-rays without the use of contrast dye. |
38 | $35 | $280 |
| Head artery clot removal and dissolution A procedure to remove a blood clot from an artery in the head and inject medication to dissolve remaining clots, guided by fluoroscopy. |
37 | $646 | $4,327 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
37 | $37 | $280 |
| Neck artery catheter insertion with radiology review A tube is inserted into an artery in the neck for diagnostic or treatment purposes. A radiologist reviews the procedure. |
25 | $301 | $1,867 |
| MRI of neck blood vessels without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the blood vessels in the neck without the use of contrast dye. |
22 | $43 | $289 |
| Brain artery catheterization A tube is inserted into an artery in the brain for diagnosis or treatment, with review by a radiologist. |
17 | $170 | $1,850 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
15 | $8 | $53 |
| Arterial catheter insertion in neck A tube is inserted into an artery in the neck for diagnostic or treatment purposes. A radiologist reviews the procedure. |
12 | $129 | $608 |
| CT scan of head/brain with and without contrast A CT scan of the head or brain performed using contrast dye both before and after its administration to capture detailed images. |
12 | $48 | $310 |
| MRI of brain with contrast A magnetic resonance imaging scan of the brain that uses a contrast dye to enhance the visibility of internal structures. |
11 | $67 | $655 |
| 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. |
11 | $10 | $250 |
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)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for neuroradiology physician in TX.
Geographic Context
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. Spiegel is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of TX peers, with 20 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. Spiegel experienced with mri scan of brain, without contrast?
Does Dr. Spiegel receive payments from pharmaceutical companies?
How do Dr. Spiegel's costs compare to other neuroradiology physicians in Tyler?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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