Dr. Lorenz Spengler , DO
Emergency Medicine • Hialeah, FL
651 E 25th St, Emergency Department
Hialeah, FL 330133814
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Lorenz Spengler is listed in NPPES under Emergency Medicine.
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NPI assigned on January 17, 2006; this date does not establish years in practice.
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Published CMS data list 934 Original Medicare Part B services in 2017.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017. Published rows only; this is not a quality measure.
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Published Part B service records, 2017:
- J1100 — Injection, dexamethasone sodium phosphate, 1 mg: 145 service units.
- J0696 — Injection, ceftriaxone sodium, per 250 mg: 128 service units.
- 99215 — Established patient outpatient office visit: 88 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2016 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2017). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 140 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Mupirocin — 24 prescription fills, including refills.
- Azithromycin — 21 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part D prescriptions went from 11 in 2013 to 140 in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2013–2017.
Practice Location & Contact Primary Location
651 E 25th St
Emergency Department
Hialeah, FL 330133814
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $49,191 in 2017
The total amount Medicare approved for these services in 2017. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.
Paid by Medicare
About $33,737 in 2017
The part of the Medicare-allowed amount that Medicare itself paid in 2017, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.
30-day fills
140 standardized 30-day fills in 2017
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,387 in 2017
The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Hialeah and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Spengler are from 2017.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Spengler are from 2017.
18 active clinicians are listed under Emergency Medicine with a practice address in Hialeah, FL (4,043 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hialeah
0% of these 18 clinicians have the CMS telehealth indicator.
72.2% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2017 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2017 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2017 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 11 in 2013 to 140 in 2017.
- 2013: 11
- 2014: 36
- 2015: 25
- 2016: 153
- 2017: 140
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30-day fills
30-day fills went from 11 in 2013 to 140 in 2017.
- 2013: 11
- 2014: 36
- 2015: 25
- 2016: 153
- 2017: 140
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Part D drug cost
Part D drug cost went from $83 in 2013 to $1,387 in 2017.
- 2013: $83
- 2014: $276
- 2015: $195
- 2016: $1,234
- 2017: $1,387
Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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145 | 14 | $2.50 | $0.11 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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128 | 25 | $5.00 | $0.66 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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88 | 83 | $463.69 | $138.60 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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74 | 70 | $318.22 | $104.83 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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69 | 69 | $470.00 | $203.61 |
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71020
X-ray of chest, 2 views, front and side
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59 | 57 | $68.04 | $26.91 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
48 | 48 | $340.20 | $161.64 |
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36415
Insertion of needle into vein for collection of blood sample
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47 | 45 | $25.00 | $2.94 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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42 | 41 | $25.00 | $10.45 |
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81002
Urinalysis, manual test
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38 | 37 | $9.28 | $3.43 |
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96372
Injection of drug or substance under skin or into muscle
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37 | 34 | $50.97 | $24.36 |
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J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
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31 | 13 | $5.00 | $0.16 |
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80053
Blood test, comprehensive group of blood chemicals
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30 | 30 | $30.95 | $13.99 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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30 | 15 | $35.12 | $16.11 |
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96374
Injection of drug or substance into vein
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18 | 15 | $120.62 | $54.63 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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13 | 13 | $44.61 | $16.47 |
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94640
Inhalation treatment for airway obstruction or sputum production
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13 | 13 | $34.54 | $17.41 |
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99354
Prolonged office or other outpatient service first hour
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13 | 12 | $212.14 | $127.28 |
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84484
Troponin (protein) analysis, quantitative
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11 | 11 | $28.82 | $13.23 |
Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Mupirocin | Mupirocin | 24 | 314 | $200.30 | 23 |
| Azithromycin | Azithromycin | 21 | 105 | $171.72 | 21 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 20 | 49 | $101.08 | 20 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 180 | $217.17 | 18 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 16 | 63 | $65.58 | 16 |
| Clindamycin Hcl | Clindamycin Hcl | 15 | 147 | $165.17 | 15 |
| Ipratropium Bromide | Ipratropium Bromide | 14 | 245 | $406.23 | 14 |
| Prednisone | Prednisone | 12 | 62 | $59.52 | 11 |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Emergency Medicine
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Career & Practice History
NPI enumerated January 17, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Emergency Medicine Providers in Hialeah
- Dr. Antonio Gandia, MD
- Dr. Yemal Calderon Amezquita, MD
- Dr. Hakkam Zaghmout, MD
- Dr. Michael Sanchez, DO
- Dr. Ghulam Jafferi, MD
- Dr. Noemi Rivera, MD
Mailing Address
Po Box 534221
Atlanta, GA 303534221
Phone: 3056512270