David R Spigel, M.D.

Medical Oncology Internal Medicine

Internal Medicine

David R Spigel is a Medical Oncology Internal Medicine specialist based in Nashville, TN with over 30 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(615) 329-0570Nashville, TN
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

David R Spigel, M.D. has been part of the Nashville medical community since 2006 in group practice. Trained at University of Tennessee, Hsc, College of Medicine (class of 1996), he has been practicing for over 30 years. CMS Medicare data shows his patients commonly have cancer, hypertension, and high cholesterol. CMS MIPS quality score: 75/100 (2023).

At a glance

  • Federal MIPS score higher than 7% of MIPS-scored doctors in Tennessee
  • Virtual visits available — no app or travel required
1 of 24 Internal Medicine providers in TNSee all Internal Medicine in Nashville30+ years experienceNPI since 2006

Older · 5099dNPPES updated 2012-06-08 · verify NPI on CMS · Verify license at Tennessee Board of Medical Examiners

Contact & Location

Practice Location

250 25th Ave N Ste 100, Nashville, TN 37203-1632

CMS Clinical Data

How Does This Doctor Compare?

MIPS Score

2023

75/100

Tennessee avg: 89 · US avg: 83.6

Lower than most doctors nationally(-8.6 pts)

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Opioid Rx

↓ Lower = better

7.41%

Tennessee avg: 5 · US avg: 5.1

Lower than most doctors nationally(+2.3 pts)

7.41% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Medicare Patients

269

Unique beneficiaries

Standard volume

Prescription Recipients

101

Patients prescribed

Prescriptions Written

594

Total claims

Total Medicare drug cost: $1.34M

Percentile rankings compared against 1,167 reporting peers in Tennessee.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Cancer, Hypertension, and High Cholesterol.

Cancer
Higher than avg (+54%)75%

Diseases involving abnormal cell growth with potential to spread to other body parts

US avg: 20.8%

↑ More patients than average (+54%) — a focus area for this doctor

Hypertension
Higher than avg (+1%)71%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+1%) — a focus area for this doctor

High Cholesterol
Lower than avg (-13%)57%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↓ Fewer patients than average (-13%) — less common here

Arthritis
Lower than avg (-10%)39%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-10%) — less common here

Diabetes
Lower than avg (-4%)30%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↓ Fewer patients than average (-4%) — less common here

Mood Disorders
29%

Conditions affecting emotional state, including depression and bipolar disorder

Anxiety Disorders
Lower than avg (-6%)28%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

↓ Fewer patients than average (-6%) — less common here

COPD
Higher than avg (+6%)26%

Chronic Obstructive Pulmonary Disease — a group of lung diseases that block airflow

US avg: 20.4%

↑ More patients than average (+6%) — a focus area for this doctor

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$4.6k received from industry

49 transactions reported in 2024 ·Moderate tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to David R Spigel's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1996

    University of Tennessee Health Science Center

  2. 30 years in practice

    Senior practitioner

Internal MedicineMedical Oncology in NashvilleAllopathic & Osteopathic Physicians

Medical oncologists diagnose and treat cancer using chemotherapy, immunotherapy, targeted therapy, and hormone therapy. They coordinate care with surgical oncologists and radiation oncologists for comprehensive cancer treatment.

Taxonomy: 207RX0202X

Education & Training

University of Tennessee, Hsc, College of Medicine (Class of 1996)

Practice Footprint

Mailing address

Po Box 440100, Nashville, TN 37244-0100

Differs from practice location

Virtual Medical Oncology Care With David R Spigel

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with David R Spigel for follow-up consultations, blood pressure monitoring, cholesterol management — no travel to Nashville required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about David R Spigel

NPI records show Dr. Spigel as active with telehealth listed in Nashville, TN. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (615) 329-0570.

Verified across 6 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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