What is James Spigel's specialty?

James Spigel (NPI 1558352674) is a Medicare-billing provider whose primary specialty is Pathology in Albuquerque, NM.

Where does James Spigel practice?

James Spigel practices in Albuquerque, NM, based on the location reported in the CMS Medicare provider datasets for NPI 1558352674.

How much does Medicare pay James Spigel?

James Spigel (NPI 1558352674) received approximately $21K in total Medicare Part B payments, serving 252 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1558352674

James SpigelMD

PathologyAlbuquerque, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

359

Unique beneficiaries

—

Total services

680

Distinct HCPCS

Medicare payment

$18K

Peer benchmark

Total Medicare services vs. 68 Pathology providers in NM — above median (cohort median 691).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

88.7

Quality

82.3

Cost

76.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.58%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where James Spigel's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 14 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	194	480
PRESBYTERIAN HEALTHCARE SERVICES	51	82
Bernalillo County Health Care Corporation Ambulance Service Provider · Albuquerque, NM	30	37
TRICORE REFERENCE LABORATORIES	28	68
Tahir Qaseem Internal Medicine · Hemet, CA	18	42
PRESBYTERIAN HEALTHCARE SERVICES	16	39
Samuel Southam Diagnostic Radiology · Provo, UT	16	27
Vanessa Marin Cardiology · Albuquerque, NM	16	24
Praveen Roy Gastroenterology · Anchorage, AK	16	28
Duncan Lill Diagnostic Radiology · Albuquerque, NM	16	19
Lara Patriquin Diagnostic Radiology · Albuquerque, NM	13	19
ALLEN, KATHLEEN	12	21

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events