Medicare Enrolled
Dr. Gary Spiegel, M.D.
Neuroradiology Physician · Tyler, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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?
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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 in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Spiegel received a total of $4,171 from 12 pharmaceutical and/or device companies across 87 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.
✓ 20 years of NPI registration
▲ Top 44% volume in TX
$4,171 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,705
Medicare services
Top 44% in TX for neuroradiology physician
Not available
Unique patients (not deduplicated)
$73
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 |
|---|---|---|---|
| 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 |
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.
2.0% high complexity
84.3% medium
13.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,171
Total received (2018-2024)
Avg $596/year across 7 years
Top 9% in TX for neuroradiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
87
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
$356
2023
$929
2022
$917
2021
$379
2020
$242
2019
$286
2018
$1,063
Payments by company (2024)
Stryker Corporation
$221
Imperative Care, Inc
$52
Penumbra, Inc.
$47
QAPEL MEDICAL INC
$22
DePuy Synthes Sales Inc.
$14
Top 3 companies account for 89.8% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic USA, Inc.
$1,024
MicroVention, Inc.
$576
Siemens Medical Solutions USA, Inc.
$564
Imperative Care, Inc
$527
Penumbra, Inc.
$459
Stryker Corporation
$387
Rapid Medical Ltd
$165
Balt USA, LLC
$161
DePuy Synthes Sales Inc.
$104
Medtronic, Inc.
$97
QAPEL MEDICAL INC
$86
BARD PERIPHERAL VASCULAR, INC.
$21
Top 3 companies account for 51.9% of all-time payments
Associated products mentioned in payments ›
103CM · ARTIS icono biplane · AXS VECTA 71 · Artis Q · Axium · CEREBASE · CONCERTOTM · CorPath GRX · EMBOGUARD · HEADWAY ADVANCED SOFT · HYDROSOFT ADVANCED · LIORESAL · LVIS Jr. · Mirage · NEUROFORM ATLAS · ONCOZENE · Optima Coil System · PIPELINE · Penumbra System · SOFIA 6F-131CM STR · SOLITAIRE X · STENT · SURPASS EVOLVE · Scepter C · Scepter XC Balloon Catheter · Solitaire · TARGET · TIGERTRIEVER 17 REVASCULARIZATION DEVICE · TRUFILL · TracStarLargeDistalPlatform · Traxcess EX Guidewire · VENOVO · Varian CRYOCARE TOUCH System · WEB · WEB ANEURYSM EMBOLIZATION SYSTEM · WEB Aneurysm Embolization System · ZOOM 88-T LARGE DISTAL PLATFORM · ZOOM RDL RADIAL ACCESS SYSTEM · ZOOM REPERFUSION CATHETER
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
Neuroradiology physicians in nearby ZIP areas
3
County median income
$71,923
Nearest hospital to ZIP centroid (approximate)
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
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 a mixed practice specialist, with moderate Medicare volume, with 20 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. Spiegel experienced with mri scan of brain, without contrast?
Based on Medicare claims data, Dr. Spiegel performed 460 mri scan of brain, without contrast 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 $4,171 from 12 companies across 87 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 neuroradiology physicians in Tyler?
Dr. Spiegel's average Medicare payment per service is $73. 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 →
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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.
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