Robin Frank Spiering, MD
NPI 1467458729ActiveIndividual· Internal Medicine· El Cajon, CA
Internal Medicine (MD) in El Cajon, California, trained at Georgetown University School of Medicine (class of 1995). Their prescriptions cost Medicare Part D more than their services did: $1,998,231 for 16,822 claims, against $150,571 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $1,255 in all, mostly food and beverage.
Overview
| NPI | 1467458729 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 22, 2005 |
| Last updated in NPPES | Apr 6, 2026 |
| Certified by provider | Apr 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A61899 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 509 |
|---|---|
| Services billed | 2,301 across 52 procedure codes |
| Paid by Medicare | $150,571 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16,822 · 40,685 30-day fills |
|---|---|
| Patients | 1,093 |
| Total drug cost | $1,998,231 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Georgetown University School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliations
- Grossmont HospitalLa Mesa, CA
- Sharp Coronado Hospital and Hlthcr CtrCoronado, CA
- Sharp Memorial HospitalSan Diego, CA
Other facilities
- Comfort and Thrive Home HealthHome health agency · San Diego, CA
- Jtc Home Health IncHome health agency · San Diego, CA
- Mission Home Health of San Diego LLCHome health agency · San Diego, CA
Industry payments (Open Payments)
- 2025$1,255 · 71 payments from 15 companies
- 2024$1,392 · 77 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $397.36 | 34 |
| Novo Nordisk Inc | $175.76 | 6 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $137.24 | 7 |
| Glaxosmithkline, LLC. | $125.11 | 5 |
| Lilly USA, LLC | $82.28 | 4 |
What the 2025 payments were for
- Food and Beverage$1,255 · 71 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 internal medicine physicians in El Cajon · All internal medicine physicians in California