Dr. Spencer Nagle, MD
1700 E 19th St, The Dalles, OR 97058 • +1-573-555-2578
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & The Dalles Percentiles
NPI #1639585813 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across OR Internal Medicine providers positions Dr. Spencer Nagle, MD in The Dalles at -0.16σ (20th city percentile / 10.06th state percentile, 292 Medicare beneficiaries), with clinical focus spanning 9 Active CMS HCPCS Codes.
Procedural volume for Dr. Nagle is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 322 annual services, $172–$235 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 186/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 93/yr).
Direct cash-pay transparency modeling sets Dr. Nagle's baseline new-consult rate near $209.00 in The Dalles, OR (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
Clinical background for Dr. Nagle (MD, NPI #1639585813) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across OR.
Compared against The Dalles, OR Internal Medicine peers
715 annual services across 292 beneficiaries
Standard deviations from OR Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 322 | 20th | $172 – $235 |
| 99213 | Established Preventive & Chronic Care Visit | 186 | 20th | $131 – $180 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 93 | 18th | $63 – $86 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 72 | 25th | $202 – $276 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 19th | $239 – $327 |
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Dr. Spencer Nagle, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nagle National Provider Identifier | NPI #1639585813 (MD) | CMS NPPES Registry (97058) |
| Dr. Nagle The Dalles CMS Volume Rank | 20.00th Pct (715 CMS svcs; Z -0.159σ) | CMS Medicare Part B (OR Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (The Dalles, OR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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