MS. HOLLY MARIE SPANGGORD M.D.
NPI 1346234465
Ophthalmology in Laguna Hills, CA

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
67.9/100
CMS Quality Rating
24022 CALLE DE LA PLATA, SUITE 305, LAGUNA HILLS, CA 92653(949) 588-2020(949) 588-0336 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Holly Marie Spanggord M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. HOLLY MARIE SPANGGORD M.D. (NPI 1346234465) is an individual ophthalmology provider in Laguna Hills, California, licensed in California (A77935) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1997).

NPPES Registry Identity

NPI1346234465
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMS. HOLLY MARIE SPANGGORDCredential: M.D.
Location Address24022 CALLE DE LA PLATA, SUITE 305Laguna Hills, CA 92653
Mailing Address24022 Calle De La Plata, Suite 305Laguna Hills, CA 92653 · (949) 588-2020 · Fax (949) 588-0336
Fax(949) 588-0336
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1997
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJune 19, 2025
NPI 1346234465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A77935
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
24022 CALLE DE LA PLATA, Laguna Hills, CA 92653

Other Identifiers 1

Medicaid00A779350CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Holly Marie Spanggord M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577568468
PECOS Enrollment IDI20100429000349
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
555 services553 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
364 services201 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
136 services130 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
132 services126 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
98 services83 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
67 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.56
Improvement Activities40
Cost38.93

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
44%479 patients1/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
80%110 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
99%377 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
0%73 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
85%6,114 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,529 patients
Patients screened: 93% · 1,529 patients
53%47 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
81%545 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%110 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,168 patients
Patients totalRate: 0% · 3,168 patients
0%3,168 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
24022 CALLE DE LA PLATA, SUITE 450
LAGUNA HILLS, CA 92653
Physician Assistant
24022 CALLE DE LA PLATA, SUTIE 500
LAGUNA HILLS, CA 92653
Dentist (General Practice)
24022 CALLE DE LA PLATA, SUITE 450
LAGUNA HILLS, CA 92653
Clinic/Center (Ambulatory Surgical)
24022 CALLE DE LA PLATA, #180
LAGUNA HILLS, CA 92653
Ophthalmology
24022 CALLE DE LA PLATA, SUITE #305
LAGUNA HILLS, CA 92653
Ophthalmology
24022 CALLE DE LA PLATA, SUITE #305
LAGUNA HILLS, CA 92653
Ophthalmology
24022 CALLE DE LA PLATA, SUITE #305
LAGUNA HILLS, CA 92653
Ophthalmology
24022 CALLE DE LA PLATA, SUITE 300
LAGUNA HILLS, CA 92653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Spanggord's NPI number?

The NPI number for Holly Spanggord is 1346234465. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Holly Spanggord located?

Holly Spanggord practices at 24022 Calle De La Plata Suite 305, Laguna Hills, CA 92653. The listed phone number is (949) 588-2020.

What is Holly Spanggord's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Holly Spanggord enrolled in Medicare?

Yes. Holly Spanggord is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Spanggord accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Holly Spanggord as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Spanggord was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.