Dr. Andrew Spangler, MD
3333 Brookview Hills Blvd Ste 105, Winston Salem, NC 27103 • +1-282-555-5639
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Winston Salem Percentiles
NPI #1578944013 • CBSA Regional • Nephrology
Statistical peer benchmarking across NC Nephrology providers positions Dr. Andrew Spangler, MD in Winston Salem at -0.57σ (44.44th city percentile / 26.92th state percentile, 447 Medicare beneficiaries), with clinical focus spanning 19 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 3333 Brookview Hills Blvd Ste 105 shows Dr. Andrew Spangler's primary concentration in Chronic Kidney Disease eGFR, uACR & Electrolyte Management (code 99214: 563x/yr, 44.44th local percentile) alongside Monthly Adult ESRD Renal Replacement Oversight (90960: 258x/yr, $400–$547).
Cash-pay intake data for NPI 1578944013 (3333 Brookview Hills Blvd Ste 105, Winston Salem) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.94/5 biomarker openness.
Clinical background for Dr. Spangler (MD, NPI #1578944013) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across NC.
Compared against Winston Salem, NC Nephrology peers
1,172 annual services across 447 beneficiaries
Standard deviations from NC Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 563 | 44.44th | $200 – $274 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 258 | 39.44th | $400 – $547 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 211 | 46.44th | $291 – $399 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 141 | 40.44th | $275 – $376 |
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Dr. Andrew Spangler, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spangler National Provider Identifier | NPI #1578944013 (MD) | CMS NPPES Registry (27103) |
| Dr. Spangler Winston Salem CMS Volume Rank | 44.44th Pct (1,172 CMS svcs; Z -0.567σ) | CMS Medicare Part B (NC Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Winston Salem, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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