1. Home
  2. Directory
  3. New York
  4. Southampton
  5. Internal Medicine
  6. NPI Profile

DR. LOUIS RONALD SPIEGEL M.D.
NPI 1821230715
Internal Medicine - Nephrology in Southampton, NY

Active since March 24, 2009PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
325 MEETING HOUSE LANE, BUILDING 2 - SUITE 301, SOUTHAMPTON, NY 11968(631) 283-4048 Get Directions Write a Review

NPPES record last updated: June 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2022, Apr 10, 2022 (2 updates tracked since 2022).

About Dr. Louis Ronald Spiegel M.d. NPPES

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

DR. LOUIS RONALD SPIEGEL M.D. (NPI 1821230715) is an individual nephrology provider in Southampton, New York, licensed in New York (258804) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1821230715
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. LOUIS RONALD SPIEGELCredential: M.D.
Location Address325 MEETING HOUSE LANE, BUILDING 2 - SUITE 301Southampton, NY 11968
Mailing Address57 Hampton RdSouthampton, NY 11968-4973
Phone(631) 283-4048
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 24, 2009
Last NPPES UpdateJune 12, 20222 updates tracked since enumeration
NPPES CertifiedJune 12, 2022
✔ NPI 1821230715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 258804
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

325 MEETING HOUSE LANE, Southampton, NY 11968
Open in Google Maps ↗

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

Dr. Louis Ronald 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 ID6406072404
PECOS Enrollment IDI20140729000316
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 6

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
299 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
269 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services15 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers21 claims570 services$0.34 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers13 claims3,120 services$0.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers14 claims14 services$18.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers21 claims21 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ERIC SIN M.D.
Internal Medicine (Infectious Disease)
325 MEETING HOUSE LANE, BLDG 2 SUITE 302
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-8008
DANIELLE HAYDEN AU.D., CCC-A
Audiologist
325 MEETING HOUSE LANE, BLDG 1, STE B
SOUTHAMPTON, NY 11968
Suffolk County (631) 287-9226
KATHRYN ALLISON SAXBY
Internal Medicine
325 MEETING HOUSE LANE, SUITE 403 BLDG 2
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100
DR. AMY ELIZABETH DALTON DO
Internal Medicine (Nephrology)
325 MEETING HOUSE LANE, BLDG. 2 SUITE 301
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-4048
GAURAV BHARDWAJ MD
Internal Medicine (Gastroenterology)
325 MEETING HOUSE LANE, BLDG 2 SUITE 405
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-5555
DR. ANA LAURA MARTINEZ-TAPIA MD
Internal Medicine (Gastroenterology)
325 MEETING HOUSE LANE, BLDG 2 SUITE 405
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-5555

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 Louis Spiegel's NPI number?

The NPI number for Louis Spiegel is 1821230715. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Louis Spiegel located?

Louis Spiegel practices at 325 Meeting House Lane Building 2 - Suite 301, Southampton, NY 11968. The listed phone number is (631) 283-4048.

What is Louis Spiegel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Louis Spiegel enrolled in Medicare?

Yes. Louis 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.

Is Louis Spiegel affiliated with any hospitals?

According to CMS data, Louis Spiegel is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Louis Spiegel was last updated on June 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.