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DEREK RUSSELL SPINDLER M.D.
NPI 1801215611
Hospitalist in Madison, WI

Active since April 09, 2014PECOS Enrolled
1675 HIGHLAND AVE, MADISON, WI 53792(608) 263-8558 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Jan 11, 2019, Jun 13, 2018 and 3 more (6 updates tracked since 2017).

About Derek Russell Spindler M.d. NPPES

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

DEREK RUSSELL SPINDLER M.D. (NPI 1801215611) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (65485) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801215611
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDEREK RUSSELL SPINDLERCredential: M.D.
Location Address1675 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-8558
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 9, 2014
Last NPPES UpdateSeptember 11, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1801215611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 65485
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 65485 (WI), 4301114303 (MI)

Secondary Practice Location 1

Location 11500 East Medical Center Dr, 12th floor C.S Mott Childrens Hospital Room 525Ann Arbor, MI 48109-4280 · Phone (734) 615-7845

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Russell Spindler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082837414
PECOS Enrollment IDI20250923004046
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

3

Medicare enrollment records show Derek Spindler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dean Health Systems, Inc
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000
Regents Of The University Of Michigan
Nephrology
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
NPI 1003848144 (734) 936-4000
University Of Wisconsin Medical Foundation, Inc
Multi-Specialty
425 WIND RIDGE DR
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1033433495 (715) 675-5201

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 20

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

ERIN VAN SAMBEEK ERNST RN IBCLC
Registered Nurse (Lactation Consultant)
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 890-8227
CAROLINE NAKAMURA SLP
Speech-Language Pathologist
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 915-0650
CASSIDY LYNN BENDER RN
Registered Nurse
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-7337
DR. ANNE M MARSH M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-9540
TALAL AL HENDAWI MD
Student in an Organized Health Care Education/Training Program
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 890-7221
AMANDA MARIE FABRY OTR, OTD
Occupational Therapist
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 890-5437
EMILY ANN ELDER PHARMD, MPH
Pharmacist (Pediatrics)
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-7337
TODD ROBERT SHELDON M.A.
Audiologist
1675 HIGHLAND AVE
MADISON, WI 53792
Dane County (082) 623-1476

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 Derek Spindler's NPI number?

The NPI number for Derek Spindler is 1801215611. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Derek Spindler located?

Derek Spindler practices at 1675 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-8558.

What is Derek Spindler's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Spindler enrolled in Medicare?

Yes. Derek Spindler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Spindler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Spindler reassigns Medicare benefits to 3 organizations: Dean Health Systems, Inc (Madison, WI), Regents Of The University Of Michigan (Ann Arbor, MI) and University Of Wisconsin Medical Foundation, Inc (Wausau, WI). 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 Derek Spindler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Spindler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Derek Spindler 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 Derek Spindler was last updated on September 11, 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.