Alan J. Spanel, MD
NPI 1023508892ActiveIndividual· Internal Medicine· Norfolk, NE
Internal Medicine (MD) in Norfolk, Nebraska, trained at University of Nebraska College of Medicine (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $885,268 for 8,450 claims, against $204,839 paid for services in 2024. Abbvie Inc. was the largest of 15 companies reporting payments in 2025, $646.64 in all, mostly food and beverage.
Overview
| NPI | 1023508892 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 16, 2018 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 33797 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 269 |
|---|---|
| Services billed | 9,014 across 59 procedure codes |
| Paid by Medicare | $204,839 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,450 · 12,745 30-day fills |
|---|---|
| Patients | 465 |
| Total drug cost | $885,268 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Internal Medicine |
Medical groups
- Sacred Heart Health ServicesYankton, SD · 153 clinicians
- Yankton Medical Clinic PCNorfolk, NE · 59 clinicians
Hospital affiliations
- Bryan Medical CenterLincoln, NE
- Faith HealthNorfolk, NE
Other facilities
- Faith Health Home HealthHome health agency · Norfolk, NE
- Aseracare HospiceHospice · Norfolk, NE
- Faith Health HospiceHospice · Norfolk, NE
- St. Croix HospiceHospice · Omaha, NE
- Arbor Care Centers-Countryside LLCNursing home · Madison, NE
- Heritage of Bel AirNursing home · Norfolk, NE
- St. Joseph's Rehabilitation and Care CenterNursing home · Norfolk, NE
- Stanton Health CenterNursing home · Stanton, NE
Industry payments (Open Payments)
- 2025$646.64 · 37 payments from 15 companies
- 2024$747.26 · 43 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $139.60 | 7 |
| Astrazeneca Pharmaceuticals LP | $119.75 | 8 |
| Novo Nordisk Inc | $73.39 | 4 |
| Sanofi-Aventis U.S. LLC | $60.11 | 1 |
| Lundbeck LLC | $40.46 | 2 |
What the 2025 payments were for
- Food and Beverage$646.64 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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