ETHAN J SPIEGLER MD
NPI 1265475024
Radiology - Nuclear Radiology in Baltimore, MD
NPI Status: Active since June 13, 2006
Contact Information
7253 AMBASSADOR RD
BALTIMORE, MD
ZIP 21244
Phone: (443) 436-1116
Fax: (443) 436-1256
- Individual
- Male
- Years of Experience 43
- Radiology
- Nuclear Radiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ETHAN SPIEGLER
This page provides the complete NPI Profile along with additional information for Ethan Spiegler, a provider established in Baltimore, Maryland with a medical specialization in Radiology, focusing in nuclear radiology and more than 43 years of experience. He graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1983. The healthcare provider is registered in the NPI registry with number 1265475024 assigned on June 2006. The practitioner's primary taxonomy code is 2085N0904X with license number D0034502 (MD). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1265475024
- Provider Name
- ETHAN J SPIEGLER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7253 AMBASSADOR RD BALTIMORE, MD 21244
- Location Phone
- (443) 436-1116
- Location Fax
- (443) 436-1256
- Mailing Address
- 7253 AMBASSADOR RD BALTIMORE, MD 21244
- Mailing Phone
- (443) 436-1116
- Mailing Fax
- (443) 436-1256
- Medical School Name
- ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
- Graduation Year
- 1983
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2006
- Last Update Date
- 01-16-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Nuclear Radiology
- Taxonomy Code
- 2085N0904X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0034502
- License State
- MD
- Taxonomy Description
- A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D74747 | MEDICARE UPIN (02) | ||
| 300076168 | MEDICARE PIN (08) | MD | |
| 360004276 | MEDICARE PIN (08) | MD | |
| 301LA551 | MEDICARE PIN (08) | MD | |
| 527L649C | MEDICARE PIN (08) | MD | |
| 445401400 | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Ethan Spiegler is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Ethan Spiegler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 749356269
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080908000366
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Injection of radioactive material for x-ray identification of lymph node
Injection, furosemide, up to 20 mg
Injection, sincalide, 5 micrograms
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study of bone and/or joint whole body
Nuclear medicine study of bone and/or joint whole body
Nuclear medicine study of bone taken at different times
Nuclear medicine study of bone taken at different times
Nuclear medicine study of brain with metabolic evaluation
Nuclear medicine study of kidney, blood, flow, and function with drug administration
Nuclear medicine study of liver and bile duct system
Nuclear medicine study of liver and bile duct system
Nuclear medicine study of liver and bile duct system with use of drugs
Nuclear medicine study of liver and bile duct system with use of drugs
Nuclear medicine study of lung circulation
Nuclear medicine study of lung circulation
Nuclear medicine study of lung ventilation and circulation
Nuclear medicine study of lymphatic system
Nuclear medicine study of parathyroid
Nuclear medicine study of parathyroid with spect
Nuclear medicine study of stomach to assess emptying
Nuclear medicine study of stomach to assess emptying
Nuclear medicine study of thyroid and thyroid function
Nuclear medicine study to assess blood loss
Nuclear medicine study whole body with ct scan
Nuclear medicine study, 1 area with spect
Nuclear medicine study, 1 area with spect
Piflufolastat f-18, diagnostic, 1 millicurie
Technetium tc-99m sestamibi, diagnostic, per study dose
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
This service was performed 1,084 times for 1,001 patientsThis procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.
This service was performed 59 times for 59 patientsFurosemide is a medication given via injection, often to help your body eliminate excess fluid or salt. It's typically used to treat issues like heart failure or high blood pressure. The dose mentioned, up to 20 mg, will be adjusted based on your specific needs.
This service was performed 124 times for 60 patientsSincalide injection, containing 5 micrograms of the active ingredient, is a procedure used to stimulate your digestive system. It helps in assessing gallbladder function or diagnosing issues related to the pancreas or bile ducts. It's a safe, quick procedure.
This service was performed 51 times for 51 patientsIodine 1-123 Ioflupane is a diagnostic procedure where a small radioactive substance is introduced into your body. It helps to create clear images of your brain, specifically to study the functioning of your brain's nerve cells.
This service was performed 18 times for 18 patientsIodine I-131 Sodium Iodide is a diagnostic test that helps visualize the thyroid gland. A small amount of radioactive iodine is given, which the thyroid absorbs. This allows doctors to identify any abnormalities in the thyroid's function or structure.
This service was performed 68 times for 31 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 447 times for 446 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 11 times for 11 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 1,262 times for 1,168 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 73 times for 71 patientsA nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
This service was performed 214 times for 210 patientsA nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.
This service was performed 17 times for 17 patientsA nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.
This service was performed 117 times for 116 patientsA nuclear medicine study of the brain with metabolic evaluation involves using a safe radioactive substance and special imaging to assess brain function. It helps identify changes in brain metabolism that can indicate certain disorders.
This service was performed 32 times for 32 patientsThis procedure helps analyze kidney function using a safe radioactive substance and special imaging. The substance is administered through an injection and travels to your kidneys. Images are then taken to assess blood flow and overall kidney function.
This service was performed 62 times for 60 patientsA nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.
This service was performed 58 times for 58 patientsA nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.
This service was performed 40 times for 40 patientsA nuclear medicine study of the liver and bile duct system involves injecting a safe, radioactive substance into the body. This substance helps create images of these areas on a special camera. It's often combined with drug use to improve image clarity and aid in diagnosing various conditions.
This service was performed 46 times for 46 patientsA nuclear medicine study of the liver and bile duct system involves injecting a safe, radioactive substance into the body. This substance helps create images of these areas on a special camera. It's often combined with drug use to improve image clarity and aid in diagnosing various conditions.
This service was performed 52 times for 52 patientsA nuclear medicine study of lung circulation involves the use of a safe, radioactive substance to visualize lung function. It helps in diagnosing conditions like blood clots. The substance is injected and images are taken to study the blood flow in your lungs.
This service was performed 195 times for 194 patientsA nuclear medicine study of lung circulation involves the use of a safe, radioactive substance to visualize lung function. It helps in diagnosing conditions like blood clots. The substance is injected and images are taken to study the blood flow in your lungs.
This service was performed 42 times for 42 patientsA nuclear medicine lung ventilation and circulation study uses a safe radioactive material to create images of air and blood flow in your lungs. It helps identify issues like blood clots or lung diseases. You inhale or receive an injection of this material, and a special camera captures the images.
This service was performed 65 times for 65 patientsA nuclear medicine study of the lymphatic system involves injecting a safe, radioactive substance into your body. This substance travels through your lymphatic system and helps create images on a special camera. These images can help doctors diagnose conditions related to your immune system.
This service was performed 52 times for 51 patientsA nuclear medicine study of the parathyroid involves injecting a small amount of radioactive substance into the body. This substance helps create images of the parathyroid glands, which regulate calcium levels in the body, to detect any abnormalities or diseases.
This service was performed 13 times for 13 patientsA nuclear medicine study of the parathyroid with SPECT is a diagnostic test that uses a small amount of radioactive material and a special camera to create images of your parathyroid glands. This test helps identify any abnormalities, aiding in accurate diagnosis and treatment.
This service was performed 54 times for 54 patientsA nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.
This service was performed 19 times for 19 patientsA nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.
This service was performed 75 times for 75 patientsA nuclear medicine study of the thyroid involves using a small amount of radioactive material to evaluate thyroid function. It helps identify issues such as overactive or underactive thyroid. The procedure is safe and provides valuable information about your thyroid health.
This service was performed 45 times for 45 patientsA nuclear medicine study is a type of imaging test. It uses a small amount of radioactive material to help identify blood loss. This material is injected into your body and detected by a special camera, providing images of your internal structures.
This service was performed 30 times for 28 patientsA Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
This service was performed 115 times for 107 patientsA nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.
This service was performed 25 times for 25 patientsA nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.
This service was performed 35 times for 35 patientsPiflufolastat F-18 is a radioactive diagnostic agent used in PET scans. It helps visualize certain cells in your body, aiding doctors in diagnosing specific conditions. This service involves injecting 1 millicurie of the agent into your body.
This service was performed 496 times for 109 patientsTechnetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
This service was performed 54 times for 54 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ethan Spiegler is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DRIVE GLEN BURNIE, MD 21061 | (410) 595-1967 | Acute Care Hospitals | |
| GREATER BALTIMORE MEDICAL CENTER | 6701 NORTH CHARLES STREET BALTIMORE, MD 21204 | (443) 849-2000 | Acute Care Hospitals | |
| UMD UPPER CHESAPEAKE MEDICAL CENTER | 500 UPPER CHESAPEAKE DRIVE BEL AIR, MD 21014 | (443) 643-3303 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265475024, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BALTIMORE, MD 21244
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265475024, enumerated as an "individual" on June 13, 2006.
The provider is located at 7253 AMBASSADOR RD BALTIMORE, MD 21244 and the phone number is (443) 436-1116.
Radiology with taxonomy code 2085N0904X and a focus in Nuclear Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Ethan Spiegler is affiliated with: UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER, GREATER BALTIMORE MEDICAL CENTER and UMD UPPER CHESAPEAKE MEDICAL CENTER.