Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jeffrey Michael Spier , MD

Specialist • El Paso, TX

Active NPI 1033222906 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

7420 Remcon Cir, Bldg A
El Paso, TX 799123508

Call 9155328823 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7420 Remcon Cir
Bldg A

El Paso, TX 799123508

Telephone 9155328823
Fax 9155325909
Organization at the Same NPPES Address or Phone
Rio Grande Urology Pa Facility NPI 1750416921

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Rio Grande Urology Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2000

Medicare patients

749 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $371,641 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2024.

Paid by Medicare

About $293,343 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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, 2024.

30-day fills

6,231 standardized 30-day fills in 2024

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

$10,117,556 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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, 2024.

Open Payments general payments, program year 2025

All general payments: $29,269.28 across 164 records.

By nature of payment (3 largest of 4)

  • Consulting Fee: $21,930.00 across 9 records.
  • Food and Beverage: $4,431.59 across 146 records.
  • Travel and Lodging: $2,763.04 across 6 records.

Reporting-company totals (3 largest of 24)

  • Novartis Pharmaceuticals Corporation: $15,111.89 across 17 records.
  • Boston Scientific Corporation: $6,791.68 across 7 records.
  • Pfizer Inc.: $1,749.05 across 10 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Spier has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Spier as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in El Paso and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: 1,078. Middle half: 330 to 2,616.

Too few clinicians listed under Specialist in El Paso have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: $96,216. Middle half: $29,655 to $195,861.

Too few clinicians listed under Specialist in El Paso have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Specialist in Texas (2024, 303 clinicians with data). Median for this group: $71,444. Middle half: $21,098 to $143,993.

Too few clinicians listed under Specialist in El Paso have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Specialist in Texas (2024, 360 clinicians with data). Median for this group: 461. Middle half: 87 to 1,432.

Too few clinicians listed under Specialist in El Paso have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Specialist in Texas (2024, 360 clinicians with data). Median for this group: $19,796. Middle half: $1,234 to $179,419.

Too few clinicians listed under Specialist in El Paso have Medicare Part D data for 2024 to compare.

38 active clinicians are listed under Specialist with a practice address in El Paso, TX (1,712 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in El Paso

5.3% of these 38 clinicians have the CMS telehealth indicator.

15.8% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 164 records totaling $29,269.28.

Manufacturer Payment Nature Product Type Amount ($)
Novartis Pharmaceuticals Corporation
Consulting Fee
Cash or cash equivalent
PLUVICTO General $10,600.00
Boston Scientific Corporation
Consulting Fee
Cash or cash equivalent
General - Oncology General $3,600.00
Boston Scientific Corporation
Consulting Fee
Cash or cash equivalent
General - Oncology General $2,400.00
Novartis Pharmaceuticals Corporation
Consulting Fee
Cash or cash equivalent
— General $2,025.00
Pfizer Inc.
Consulting Fee
Cash or cash equivalent
— General $1,500.00
Calyxo, Inc.
Travel and Lodging
Cash or cash equivalent
CVAC ASPIRATION SYSTEM General $1,088.97
Novartis Pharmaceuticals Corporation
Consulting Fee
Cash or cash equivalent
PLUVICTO General $675.00
Novartis Pharmaceuticals Corporation
Travel and Lodging
In-kind items and services
PLUVICTO General $532.52
Cardinal Health 414 LLC
Consulting Fee
Cash or cash equivalent
— General $530.00
Novartis Pharmaceuticals Corporation
Travel and Lodging
In-kind items and services
PLUVICTO General $417.01
Boston Scientific Corporation
Consulting Fee
Cash or cash equivalent
General - Oncology General $400.00
BIOPROTECT MEDICAL, INC.
Food and Beverage
In-kind items and services
BIOPROTECT BALLOON IMPLANT SYSTEM General $386.97
Novartis Pharmaceuticals Corporation
Travel and Lodging
In-kind items and services
PLUVICTO General $266.50
Novartis Pharmaceuticals Corporation
Travel and Lodging
In-kind items and services
PLUVICTO General $244.46
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $226.23
Novartis Pharmaceuticals Corporation
Travel and Lodging
In-kind items and services
PLUVICTO General $213.58
Boston Scientific Corporation
Consulting Fee
Cash or cash equivalent
General - Kidney Stone Disease General $200.00
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $149.99
Pfizer Inc.
Food and Beverage
In-kind items and services
— General $137.60
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $134.55
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
RYBREVANT General $118.68
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $117.96
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
— General $105.51
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
LYNPARZA General $104.37
ACCORD HEALTHCARE, INC.
Food and Beverage
In-kind items and services
Camcevi General $99.44

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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
J0897 Injection, denosumab, 1 mg
5,820 35 $38.00 $25.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
496 344 $200.00 $128.59
81001 Manual urinalysis test with examination using microscope, automated
470 350 $20.00 $3.04
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
326 268 $150.00 $90.22
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
180 26 $600.00 $178.00
51798 Ultrasound measurement of bladder capacity after voiding
149 129 $45.00 $11.06
87798 Detection test by nucleic acid for organism, amplified probe technique
137 19 $85.00 $33.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
116 108 $95.00 $56.75
96372 Injection of drug or substance under skin or into muscle
91 51 $35.00 $14.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
82 57 $290.00 $182.37
52000 Diagnostic exam of bladder and urethra using an endoscope
74 61 $400.00 $239.09
76770 Complete ultrasound scan behind abdominal cavity
70 66 $274.00 $108.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
57 35 $66.00 $34.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
49 49 $265.00 $166.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
32 32 $186.25 $112.97
P9612 Catheterization for collection of specimen, single patient, all places of service
30 27 $18.00 $8.65
J1580 Injection, garamycin, gentamicin, up to 80 mg
28 19 $5.00 $2.08
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
26 17 $153.00 $63.10
74420 Imaging of urinary tract following injection of a contrast agent
21 18 $80.00 $24.70
36415 Insertion of needle into vein for collection of blood sample
20 20 $22.00 $8.65
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique
19 19 $85.00 $31.02
99441 Telephone medical discussion with physician, 5-10 minutes
19 15 $90.00 $54.56
99442 Telephone medical discussion with physician, 11-20 minutes
19 15 $146.00 $86.21
51702 Simple insertion of temporary bladder tube
18 14 $180.00 $62.31
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
18 18 $85.00 $32.64

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; 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 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 792 66,238 $13,493.49 283
Erleada Apalutamide 350 10,920 $5,209,986.04 56
Finasteride Finasteride 330 28,815 $4,242.15 115
Ciprofloxacin Hcl Ciprofloxacin Hcl 308 1,692 $1,666.98 224
Orgovyx Relugolix 229 6,870 $595,100.80 41
Xtandi Enzalutamide 154 4,740 $2,196,040.81 33
Solifenacin Succinate Solifenacin Succinate 150 12,030 $7,469.55 72
Nubeqa Darolutamide 144 4,320 $1,913,765.01 30
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 118 1,753 $3,073.90 90
Acetaminophen-Codeine Acetaminophen With Codeine 94 407 $582.82 77
Myrbetriq Mirabegron 85 5,865 $87,292.53 45
Prednisone Prednisone 70 2,043 $187.33 15
Abiraterone Acetate Abiraterone Acetate 60 1,800 $63,574.34 —
Cefuroxime Cefuroxime Axetil 57 618 $754.05 46
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 52 1,043 $433.09 38
Nitrofurantoin Nitrofurantoin Macrocrystal 45 2,476 $1,709.90 28
Cephalexin Cephalexin 44 1,476 $395.44 28
Alfuzosin Hcl Er Alfuzosin Hcl 41 3,630 $830.45 14
Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip 34 796 $695.09 18
Oxybutynin Chloride Er Oxybutynin Chloride 28 2,202 $928.21 —
Testosterone Cypionate Testosterone Cypionate 27 1,864 $1,179.63 —
Silodosin Silodosin 26 1,390 $1,709.08 —
Dutasteride Dutasteride 24 2,136 $694.16 —
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 19 212 $132.32 16
Fluconazole Fluconazole 18 114 $92.35 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES TX N3325

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES CA A95151

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medical License
A95151 (CA)
Other Identifier State Medical License
N3325 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20090713000671

Enrollment State Jurisdiction

TX

PECOS Control ID

8123024361

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Rio Grande Urology Pa

2201 N Stanton, El Paso, TX 799023211

Phone: 9155330800

Rio Grande Urology Pa

7420 Remcon Cir, El Paso, TX 799123537

Phone: 9155328823

Rio Grande Urology Pa

2201 N Stanton St, El Paso, TX 799023211

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Paloma Becker , NURSE PRACTITIONER

Nurse Practitioner - Acute Care

NPI 1114441177

NURSEPRACTITIONER

NPI 1437662202

ACNPCAG

NPI 1053511279
NPI 1528683844

Doctor of Medicine (M.D.)

Dr. Nyun Han , MD

Radiology - Therapeutic Radiology

NPI 1134127293

Doctor of Medicine (M.D.)

NPI 1033573274

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated August 16, 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 November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1033222906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: June 25, 2013
Sole Proprietor: No

Other Specialists in El Paso

All Specialists in El Paso

More public profiles in Texas

Directory navigation, in NPI number order.

Mailing Address

7420 Remcon Cir, Bldg A

El Paso, TX 799123508

Phone: 9155328823

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.