Doctor profile · Federal record

Dr. Crystal Smith-Spangler, MD

Internal Medicine Physician (CMS: Internal Medicine) · Palo Alto, CA

  • NPI 1649450503
  • Accepts Medicare
  • 21 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
795 El Camino Real
Palo Alto, CA 943012302
(650) 321-4121
fax (650) 853-6052
Mailing address
325 Distel Cir
Los Altos, CA 940221408

Credentials & registration

NPPES · NUCC
NPI registered
November 2007 — 19 yrs on file
Profile last updated
June 5, 2020
Year of graduation
2005 — 21 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
California #A96495

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1649450503. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
797
Distinct HCPCS
10
Medicare allowed
$115,753
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 311 180 $156
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 139 139 $160
99215 Established patient office or other outpatient visit, 40-54 minutes 109 76 $215
99213 Established patient office or other outpatient visit, 20-29 minutes 92 87 $110
G0008 Administration of influenza virus vaccine 33 33 $38
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 31 31 $75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and 24 19 $65
G0009 Administration of pneumococcal vaccine 23 23 $35
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use 18 18 $241
99212 Established patient office or other outpatient visit, 10-19 minutes 17 17 $71

In context: peer comparison

Among 30 peers in this city , average services per provider: 82. This provider delivers 9.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$148
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Medtronic, Inc. 1 $148.00

By nature of payment

Food and Beverage
$148

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,495
Patients
391
Total drug cost
$121,839
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 400 104 $5,820
Amlodipine Besylate Generic 184 46 $2,038
Omeprazole Generic 109 40 $1,438
Losartan Potassium Generic 105 28 $1,353
Levothyroxine Sodium Generic 92 24 $1,698
Lisinopril Generic 88 20 $1,167
Ozempic (Semaglutide) Brand 80 14 $99,339
Montelukast Sodium Generic 66 16 $947
Escitalopram Oxalate Generic 59 15 $1,493
Metformin Hcl Er (Metformin Hcl) Brand 58 18 $1,021

Frequently asked questions

Auto-generated from federal data
What is Dr. Crystal Smith-Spangler's medical specialty?
Dr. Crystal Smith-Spangler practices Internal Medicine Physician in Palo Alto, CA.
Where does Dr. Crystal Smith-Spangler practice?
Dr. Crystal Smith-Spangler practices at 795 El Camino Real, Palo Alto, CA 943012302. Office phone: 6503214121.
What is Dr. Crystal Smith-Spangler's NPI?
Dr. Crystal Smith-Spangler's National Provider Identifier (NPI) is 1649450503, issued by NPPES.
Does Dr. Crystal Smith-Spangler accept Medicare assignment?
Yes. Dr. Crystal Smith-Spangler accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Crystal Smith-Spangler commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.