Dr. David Spiegel, MD
825 Fairfax Ave, Suite 710, Norfolk, VA 23507 • +1-599-555-1122
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Norfolk Percentiles
NPI #1518934728 • CBSA Regional • Psychiatry
Dr. David Spiegel, MD (NPI #1518934728) practices Psychiatry in Norfolk, VA (23507) with sub-specialty concentration in 12 Active CMS HCPCS Codes, recording 715 annual CMS services across 229 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Norfolk percentile) (-0.63σ vs VA state mean, 22.06th statewide percentile).
Granular CPT/HCPCS billing distribution at 825 Fairfax Ave, Suite 710 shows Dr. David Spiegel's primary concentration in Psychopharmacology Medication & Symptom Titration Visit (code 99214: 315x/yr, 12th local percentile) alongside Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) (90833: 200x/yr, $115–$157).
Uninsured and high-deductible cash patients visiting Dr. David Spiegel in Norfolk (23507) face an estimated $209.00 initial evaluation fee at 825 Fairfax Ave, Suite 710 (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.79/5 from 5 verified reports).
Patients evaluating Dr. David Spiegel in ZIP 23507 note 26 years of post-doctoral tenure (null, 2000) alongside 3.1 annual CMS procedures per patient.
Compared against Norfolk, VA Psychiatry peers
715 annual services across 229 beneficiaries
Standard deviations from VA Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 315 | 12th | $159 – $218 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 200 | 12th | $115 – $157 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 114 | 12th | $122 – $167 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 86 | 12th | $250 – $342 |
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Dr. David Spiegel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spiegel National Provider Identifier | NPI #1518934728 (MD) | CMS NPPES Registry (23507) |
| Dr. Spiegel Norfolk CMS Volume Rank | 0.00th Pct (715 CMS svcs; Z -0.630σ) | CMS Medicare Part B (VA Psychiatry) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Norfolk, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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