DR. GARY R. SPIEGEL M.D.
NPI 1568448785
Radiology - Vascular & Interventional Radiology in Tyler, TX

Q: What is Gary Spiegel's NPI number?

The NPI number for Gary Spiegel is 1568448785. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Q: What is Gary Spiegel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Gary Spiegel was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment

910 E HOUSTON ST STE 210, TYLER, TX 75702(903) 705-0072 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, May 27, 2026, Sep 30, 2024 and 4 more (7 updates tracked since 2015).

On this page

About Dr. Gary R. Spiegel M.d. NPPES

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

DR. GARY R. SPIEGEL M.D. (NPI 1568448785) is an individual vascular & interventional radiology provider in Tyler, Texas, licensed in Texas (Q6792) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1568448785

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. GARY R. SPIEGELCredential: M.D.

Location Address910 E HOUSTON ST STE 210Tyler, TX 75702-8369

Mailing Address700 Olympic Plaza Cir Ste 910Tyler, TX 75701-1915 · (903) 705-0072 · Fax (903) 705-0068

Phone(903) 705-0072

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateDecember 20, 2005

Last NPPES UpdateAugust 13, 20267 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1568448785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in TX · Q6792

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License Q6792 (TX)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License Q6792 (TX)

910 E HOUSTON ST STE 210, Tyler, TX 75702

Open in Google Maps ↗

Secondary Practice Locations 9

Location 1700 Olympic Plaza Cir Ste 100Tyler, TX 75701-1951 · Phone (903) 262-3900

Location 2409 Cottage RdCarthage, TX 75633-1466 · Phone (903) 694-4941

Location 3117 N Winnsboro StQuitman, TX 75783-2144 · Phone (903) 763-6333

Location 42208 Three Lakes Pkwy Ste 102Tyler, TX 75703-0538 · Phone (903) 262-3900

Location 51000 E 5th St Ste 300Tyler, TX 75701-3333 · Phone (903) 531-8000

Location 62701 US Highway 271 NPittsburg, TX 75686-4289 · Phone (903) 946-5365

Location 7700 Olympic Plaza Cir, Ste 910Tyler, TX 75701 · Phone (903) 705-0072 · Fax (903) 705-0068

Location 81000 S Beckham AveTyler, TX 75701-1908 · Phone (903) 596-3470

Location 918118 Fm 344 WFlint, TX 75762-6010 · Phone (903) 825-3292 · Fax (903) 825-3151

Other Identifiers 1

Medicaid353789607TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary R. Spiegel 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 ID9830093657

PECOS Enrollment IDI20160129002186

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.

Medicare Billing Reassignments

Medicare enrollment records show Gary Spiegel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas

0.1 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Neuro Ir Of East Texas

0.5 mi

Neuroradiology

700 OLYMPIC PLAZA CIR STE 910
Tyler, TX 75701

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1508376716 (903) 705-0072

Ut Physicians

181 mi

Neurological Surgery

6400 FANNIN ST STE 2800
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
263 clinicians in this Medicare group

NPI 1265096317 (713) 704-7100

Ut Physicians

181 mi

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 30

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

451 services392 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

442 services425 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

314 services301 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

308 services302 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

304 services299 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

166 services166 patients

Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast 0042T

A computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast is a non-invasive exam. It uses X-rays and a contrast material to create detailed images of your brain. It helps evaluate blood flow patterns and detect abnormalities like clots or blockages.

155 services152 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

118 services117 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

81 services69 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

57 services53 patients

Mri scan of blood vessels of head without contrast 70544

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

54 services54 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

54 services53 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

51 services49 patients

X-ray of spine, 1 view 72020

An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.

44 services44 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

44 services44 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

43 services42 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

39 services38 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

30 services29 patients

Mri scan of blood vessels of neck without contrast 70547

An MRI scan of the neck's blood vessels without contrast is a non-invasive procedure that uses magnetic fields to create detailed images of your neck's blood vessels. It helps identify any abnormalities or blockages, aiding in accurate diagnosis and treatment planning.

30 services30 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

29 services25 patients

Mri scan of middle spinal canal before and after contrast 72157

An MRI scan of the middle spinal canal with contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your spine, both before and after a contrast dye is injected. The dye helps to highlight certain structures, providing a clearer picture for diagnosis.

25 services24 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

24 services20 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

18 services18 patients

Review by radiologist of image for insertion of material to block blood flow 75894

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

17 services17 patients

Imaging of blood vessel 75898

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

17 services17 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

16 services12 patients

Ct scan of head or brain before and after contrast 70470

A CT scan of the head or brain uses special X-ray equipment to create detailed images of your brain's structure. Before and after contrast means two scans are done. Initially, images are taken without a contrast dye. Then, a dye is given to highlight certain areas, providing a clearer picture.

16 services16 patients

Occlusion of central nervous system or spinal cord artery 61624

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

14 services14 patients

Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist 36227

This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.

12 services12 patients

Mri scan of brain with contrast 70552

An MRI scan of the brain with contrast is a non-invasive imaging test. A dye is injected into a vein to enhance the images. The scan uses magnetic fields and radio waves to create detailed pictures of your brain, helping to identify abnormalities or diseases.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450236

Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County

Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450389

Location2000 South Palestine StAthens, TX 75751 · Henderson County

Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX

OwnershipPhysician

CMS Certification Number450864

Location1814 Roseland BoulevardTyler, TX 75701 · Smith County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 4

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

KURT STEPHEN REULAND M.D.

Radiology (Vascular & Interventional Radiology)

910 E HOUSTON ST STE 210
TYLER, TX 75702

Smith County (903) 705-0072

DR. MICHAEL DAVID WILLIAMS M.D.

Radiology (Vascular & Interventional Radiology)

910 E HOUSTON ST STE 210
TYLER, TX 75702

Smith County (903) 705-0072

HUGO HUMBERTO CUELLAR - SAENZ MD

Radiology (Vascular & Interventional Radiology)

910 E HOUSTON ST STE 210
TYLER, TX 75702

Smith County (903) 705-0072

JUSTIN COSTELLO D.O.

Radiology (Vascular & Interventional Radiology)

910 E HOUSTON ST STE 210
TYLER, TX 75702

Smith County (903) 705-0072

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 Gary Spiegel's NPI number?

The NPI number for Gary Spiegel is 1568448785. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Gary Spiegel located?

Gary Spiegel practices at 910 E Houston St Ste 210, Tyler, TX 75702. The listed phone number is (903) 705-0072.

What is Gary Spiegel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Gary Spiegel enrolled in Medicare?

Yes. Gary Spiegel 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.

Which organizations bill Medicare for Gary Spiegel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Spiegel reassigns Medicare benefits to 4 organizations: Christus Trinity Clinic Texas (Tyler, TX), Neuro Ir Of East Texas (Tyler, TX), Ut Physicians (Houston, TX) and Ut Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Spiegel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Spiegel accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and UnitedHealthcare list Gary Spiegel 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.

Is Gary Spiegel affiliated with any hospitals?

According to CMS data, Gary Spiegel is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Christus Mother Frances Hospital Sulphur Springs, Ut Health East Texas Athens Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for Gary Spiegel was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.