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Samuel Justin Spiegel, MD

Neurology · Orange

NPI 1043742695

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Regents of the University of California · 52 clinicians in this group

Looking this up.

Hospitals listed: Uci Health-Orange. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Spiegel’s office at (714) 456-8068 to ask if they take your plan before you enroll.

California Medical Board record

Licence A159963 · Current

Licensed to practise in California · since 2018 · expires 2028-12-31 · Sidney Kimmel Medical College at Thomas Jefferson University.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Uci Health-OrangeOrange, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of Chao Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.44 (3.82 to 7.06) · 2,934 cases, Jul 2022 – Jun 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 82.98 (46.2 to 119.76) · 170 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.422, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.56, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.547, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.356, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.449, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.6 to 1) · 1,287 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Uci Health-Orange

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 4 better, 4 the same, 0 worse of 8 measures. Readmissions: 2 better, 7 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Uci Health-Orange
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.44 (3.82 to 7.06) · 2,934 casesWorseJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths82.98 (46.2 to 119.76) · 170 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.422BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.56BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.547BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.356BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.449BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1) · 1,287 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.25 to 1.87) · 2,297 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.9 (0.67 to 1.13)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.3 · 60 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 59 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.2 · 104 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.3 · 331 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.1 · 416 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.4 · 330 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,269 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.33) · 8,263 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.19 (0.01 to 0.37) · 8,703 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.95 (0.57 to 3.32) · 1,647 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.52 (1.33 to 3.71) · 2,756 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.15 (2.82 to 11.48) · 1,643 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.78 (2.24 to 7.33) · 1,680 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.98 (0.61 to 3.36) · 871 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.28 (0 to 0.77) · 7,232 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 170 casesNoneApr 2023 – Mar 2025
SSI - Abdominal HysterectomyInfections0.546No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 165 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.8 · 556 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits75.5 · 113 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits0 · 391 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-4.4 · 436 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 556 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.1 to 6.6) · 846 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.8 (10 to 14) · 846 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 200 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.9 · 64 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21 · 110 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits10.8 (8.6 to 13.8) · 2,457 casesNo differentJan 2022 – Dec 2024

What patients said (575 patients answered, 16% of those asked)

Patient survey stars by topic at Uci Health-Orange
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness1
Recommend hospital3
Share of patients giving the best answer at Uci Health-Orange
Room was "always" clean62%
Nurses "always" communicated well72%
Doctors "always" communicated well74%
Staff "always" explained57%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand69%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)65%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night40%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$59,004

Medicare paid this office $59,004 for 308 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)171$18,775$84
Return visit (30+ min)69$6,885$81
Long return visit (40+ min)34$4,783$126
New patient visit (45+ min)42$4,762$113
Exam to measure eye deviation and range of motion85$3,754$32
See all 13 services
Every Original Medicare service billed
Return visit (30+ min)171$18,775$84
Return visit (30+ min)69$6,885$81
Long return visit (40+ min)34$4,783$126
New patient visit (45+ min)42$4,762$113
Exam to measure eye deviation and range of motion85$3,754$32
Imaging of optic nerve146$3,714$19
Exam of visual field with extended testing103$3,339$24
New patient visit (45+ min)20$2,264$113
Long return visit (40+ min)16$2,145$119
New patient visit (60+ min)12$1,939$162
Imaging of optic nerve79$1,904$18
Exam of visual field with extended testing56$1,580$23
Exam to measure eye deviation and range of motion33$1,243$32

Who their Medicare patients are

308 Original Medicare patients in 2024. Average age 73 · Under 65 12% · 85 and older 12% · Women 57% · Also on Medicaid 28% · Health risk score 1.56. At or below the middle of the specialty; the typical neurology clinician is at 1.61.

Conditions among them: High blood pressure 69% · Diabetes 31% · Depression 28% · Coronary heart disease 27% · Chronic kidney disease 19% · Stroke 18% · Atrial fibrillation 16% · Cancer 15% · Heart failure 14% · COPD 14% · Dementia 10%.

The office billed $325,138, Medicare allowed $76,093 and paid $59,004; for 1,135 services of 19 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20243081,135731.56$325,138$59,004
20232681,123741.48$341,155$59,295
202275190721.35$73,585$12,296
20211217692.11$16,456$2,351

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 13 services

Original Medicare services billed in 2023
Long return visit (40+ min)75$11,429$119
Return visit (30+ min)99$10,842$75
Return visit (30+ min)61$6,744$78
New patient visit (45+ min)55$5,516$100
Exam to measure eye deviation and range of motion90$4,064$29
New patient visit (60+ min)25$3,791$152
Long return visit (40+ min)28$3,415$118
Imaging of optic nerve121$3,254$18
Exam of visual field with extended testing86$2,701$22
New patient visit (45+ min)16$1,571$98
Imaging of optic nerve59$1,549$17
Exam of visual field with extended testing42$1,282$21
Exam to measure eye deviation and range of motion30$1,164$29

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)34$3,454$91
Long return visit (40+ min)12$2,255$150
New patient visit (45+ min)14$1,485$106
Return visit (30+ min)12$1,082$83
Exam to measure eye deviation and range of motion20$822$32
Imaging of optic nerve23$524$21
Exam of visual field with extended testing15$499$31
Imaging of optic nerve11$242$19

Medicaid work

$13,282 in 2024

Medicaid paid $13,282 for 341 billed services this clinician did in 2024, up to 24 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Return visit (30+ min)89$7,039
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve150$3,635
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2)102$2,608
Medicaid work by year
2024341324$13,282
2023220322$9,597
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)63$5,235
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve97$2,513
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2)60$1,849

Drugs they prescribed that Part D paid

$4,801

Pharmacies billed $4,801 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 62) in 2024. At or below the middle of the specialty; the typical neurology clinician is at 0%.

57 generic and fewer than 11 brand-name prescriptions · $4,801 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Prednisone24$311$13

Year by year

Part D prescribing by year
202462210% (0)None$4,801
202363270% (0)0%$2,143
202252210% (0)None$7,924
202177290% (0)18%$51,237
20204317NoneNone$9,214

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Prednisone25$349$14

2022: 1 drug

Part D drugs prescribed in 2022
Prednisone12$231$19

2021: 1 drug

Part D drugs prescribed in 2021
Prednisone11$79$7

Money from drug and device companies

$8,057 in 2025

Industry payments by year
2025410$6,600$8,057
202311None$65
202211None$50

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AmgenUplizna$7,758
5 payments
  • Consulting for Uplizna · 2025-04-15 · $2,750
  • Consulting for Uplizna · 2025-04-15 · $3,850
  • Travel for Uplizna · 2025-03-22 · $211
  • Travel for Uplizna · 2025-03-22 · $847
  • Meals for Uplizna · 2025-03-22 · $99
Argenx USNone$196
2 payments
  • Meals · 2025-03-17 · $75
  • Meals · 2025-03-16 · $122
Alexion PharmaceuticalsUltomiris$72
1 payment
  • Meals for Ultomiris · 2025-03-19 · $72
UcbRystiggo$30
2 payments
  • Education for Rystiggo · 2025-07-09 · $15
  • Education for Rystiggo · 2025-03-14 · $15
See all 10 published payments
Every published payment
UcbEducation · 2025-07-09Rystiggo$15
AmgenConsulting · 2025-04-15Uplizna$2,750
AmgenConsulting · 2025-04-15Uplizna$3,850
AmgenTravel · 2025-03-22Uplizna$211
AmgenTravel · 2025-03-22Uplizna$847
AmgenMeals · 2025-03-22Uplizna$99
Alexion PharmaceuticalsMeals · 2025-03-19Ultomiris$72
Argenx USMeals · 2025-03-17None$75
Argenx USMeals · 2025-03-16None$122
UcbEducation · 2025-03-14Rystiggo$15
See earlier years (2023, 2022)

2023: $65

Payments by company in 2023
Horizon Therapeutics plcTepezza$65
1 payment
  • Meals for Tepezza · 2023-03-13 · $65

2022: $50

Payments by company in 2022
Horizon Therapeutics plcTepezza$50
1 payment
  • Meals for Tepezza · 2022-02-14 · $50

Professional record

NPI
1043742695
Licence
CA A159963California A159963: Current · expires 2028-12-31
Trained
Jefferson Medical College of Thomas Jefferson University, 2017
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207WX0109X (207WX0109X); Student in a training program (390200000X)
Mailing address
5767 W Century Blvd Ste 400, Los Angeles, CA, 90045
NPI first listed
2017-04-03
NPI last updated
2021-06-10
NPI record certified
2021-06-10

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 100 Stein Plz Fl 1, Los Angeles, CA, 90095 · 300 Pasteur Drive, Lane 154, Stanford, CA, 94305