Dr. David Spigel, MD
250 25th Ave N, Ste 100, Nashville, TN 37203 • +1-346-555-5925
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Nashville Percentiles
NPI #1427074210 • CBSA 34980 • Medical Oncology
Operating out of Nashville, TN (250 25th Ave N, Ste 100), Medical Oncology clinician Dr. David Spigel, MD (accredited MD/DO training, 2007) maintains a focused low-volume boutique caseload (33.33th Nashville percentile) (33.33th TN percentile; Z-score -0.68σ across 39,878 documented services) with sub-specialty concentration in 93 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Spigel (averaging 229.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 2% of tracked volume (811 encounters), paired with 99213 (469x).
Cash-pay intake data for NPI 1427074210 (250 25th Ave N, Ste 100, Nashville) indicates $202.00 typical out-of-pocket visit spend against a $202.00 locality benchmark, paired with 11-minute average reception wait and 4.93/5 biomarker openness.
NPI registry verification (#1427074210) confirms Dr. David Spigel's MD standing serving CBSA 34980 with a 4.84/5 patient scorecard.
Compared against Nashville, TN Medical Oncology peers
39,878 annual services across 174 beneficiaries
Standard deviations from TN Medical Oncology 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 | 811 | 33.33th | $52 – $72 |
| 99213 | Established Preventive & Chronic Care Visit | 469 | 36.33th | $40 – $55 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 234 | 33.33th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 180 | 33.33th | $61 – $84 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 108 | 37.33th | $73 – $100 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (93 HCPCS billing breadth) | 38,075 | 33.33th | $47 – $68 |
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Dr. David Spigel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spigel National Provider Identifier | NPI #1427074210 (MD) | CMS NPPES Registry (37203) |
| Dr. Spigel Nashville CMS Volume Rank | 33.33th Pct (39,878 CMS svcs; Z -0.682σ) | CMS Medicare Part B (TN Medical Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $202.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Nashville, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $202.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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