Doctor profile · Federal record

Dr. Gary Spangler, M.D.

Family Medicine Physician (CMS: Family Practice) · Case Management Agency · Alvin, TX

  • NPI 1952395048
  • Accepts Medicare
  • 26 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4910 County Road 182
Alvin, TX 775119361
(281) 218-7200
fax (281) 218-7203
Mailing address
646 Fm 517 RD W
Dickinson, TX 775393904

Credentials & registration

NPPES · NUCC
NPI registered
September 2005 — 21 yrs on file
Profile last updated
February 23, 2025
Year of graduation
2000 — 26 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Texas #L4728
Medicaid
TX #158488008

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1952395048. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
899
Distinct HCPCS
10
Medicare allowed
$99,696
HCPCS Description Services Patients Avg allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 247 106 $107
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 181 91 $153
G0179 Physician or allowed practitioner re-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 a 175 61 $42
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 135 45 $128
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 43 25 $186
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 43 41 $53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 23 14 $107
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 21 20 $182
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 20 14 $153
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 11 11 $133

In context: peer comparison

Among 2 peers in this city , average services per provider: 74. This provider delivers 12× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
6,010
Patients
911
Total drug cost
$190,883
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 866 134 $11,491
Levothyroxine Sodium Generic 581 68 $7,166
Gabapentin Generic 479 69 $10,337
Furosemide Generic 470 71 $3,756
Amlodipine Besylate Generic 429 78 $3,808
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 421 82 $12,530
Donepezil Hcl Generic 382 45 $4,839
Metoprolol Tartrate Generic 326 49 $2,554
Eliquis (Apixaban) Brand 324 40 $100,077
Mirtazapine Generic 309 50 $7,095

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Gary Spangler's medical specialty?
Dr. Gary Spangler practices Family Medicine Physician in Alvin, TX.
Where does Dr. Gary Spangler practice?
Dr. Gary Spangler practices at 4910 County Road 182, Alvin, TX 775119361. Office phone: 2812187200.
What is Dr. Gary Spangler's NPI?
Dr. Gary Spangler's National Provider Identifier (NPI) is 1952395048, issued by NPPES.
Does Dr. Gary Spangler accept Medicare assignment?
Yes. Dr. Gary Spangler accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gary Spangler commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent nursing facility care with high level of medical decision making (HCPCS 99310); Physician or allowed practitioner re-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 a (HCPCS G0179). Source: CMS Medicare Physician & Other Practitioners file.