David Richard Spiegel, MD
Psychiatry & Neurology, Psychiatry (MD) with Evms Academic Physicians and Surgeons Health Services Foundation, practicing in Norfolk, Virginia. Their prescriptions cost Medicare Part D more than their services did: $137,102 for 1,565 claims, against $54,125 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 12 companies reporting payments in 2025, $91,094 in all, mostly speaking and faculty fees. Lists Sentara Norfolk General Hospital as a hospital affiliation.
Overview
| NPI | 1518934728 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 7, 2006 |
| Last updated in NPPES | Feb 3, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 0101049313 | VA |
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 - Psychiatry (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 229 |
|---|---|
| Services billed | 715 across 12 procedure codes |
| Paid by Medicare | $54,125 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,565 · 2,448 30-day fills |
|---|---|
| Patients | 96 |
| Total drug cost | $137,102 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- Evms Academic Physicians and Surgeons Health Services FoundationNorfolk, VA · 232 clinicians
Hospital affiliation
- Sentara Norfolk General HospitalNorfolk, VA
Industry payments (Open Payments)
- 2025$91,094 · 162 payments from 12 companies
- 2024$43,215 · 131 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $47,386 | 43 |
| Alkermes, Inc. | $25,235 | 23 |
| Abbvie Inc. | $10,008 | 38 |
| Vanda Pharmaceuticals Inc. | $6,489 | 11 |
| E.R. Squibb & Sons, L.L.C. | $1,362 | 14 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$81,085 · 24 payments
- Travel and Lodging$3,816 · 12 payments
- Consulting Fee$3,297 · 3 payments
- Food and Beverage$2,897 · 123 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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