GARY SPIEGELMAN, M.D.
Gastroenterology Physician · KNOXVILLE, TN
Individual Active NPI 1306948187
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 719 | 1,756 | $670,368 | $174,270 | $137,735 |
| 2023 | 738 | 1,785 | $664,426 | $187,067 | $150,030 |
| 2022 | 698 | 1,895 | $668,612 | $192,764 | $152,252 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 468 | $79 | $57 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 180 | $69 | $54 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 175 | $85 | $67 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 129 | $215 | $179 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 129 | $114 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 99 | $146 | $99 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 87 | $153 | $153 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 84 | $5 | $3 |
| 43450 | Dilation of esophagus | 58 | $33 | $27 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 51 | $43 | $34 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | $97 | $77 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 34 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD023743 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.