Andrew Henican Spangler, MD
NPI 1578944013ActiveIndividual· Internal Medicine, Nephrology· Winston Salem, NC
Internal Medicine, Nephrology (MD) in Winston Salem, North Carolina, trained at University of North Carolina at Chapel Hill School of Medicine (class of 2015). Their prescriptions cost Medicare Part D more than their services did: $544,690 for 1,887 claims, against $110,466 paid for services in 2024. Travere Therapeutics, Inc. was the largest of 26 companies reporting payments in 2025, $2,102 in all, mostly food and beverage.
Overview
| NPI | 1578944013 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 10, 2015 |
| Last updated in NPPES | Aug 23, 2022 |
| Certified by provider | Aug 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 209419 | NC |
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 - Nephrology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 447 |
|---|---|
| Services billed | 1,172 across 19 procedure codes |
| Paid by Medicare | $110,466 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,887 · 3,965 30-day fills |
|---|---|
| Patients | 381 |
| Total drug cost | $544,690 |
| Generic share | 76% of claims |
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical group
- W Scott Moore Et Al PtrWinston Salem, NC · 12 clinicians
Hospital affiliations
- Northern Regional HospitalMount Airy, NC
- Novant Health Forsyth Medical CenterWinston-Salem, NC
- Novant Health Thomasville Medical CenterThomasville, NC
Other facilities
- King Dialysis CenterDialysis facility · King, NC
- Lexington Dialysis CenterDialysis facility · Lexington, NC
- Mount Airy Dialysis CenterDialysis facility · Mount Airy, NC
- Miller Street Dialysis CenterDialysis facility · Winston Salem, NC
- Piedmont Dialysis CenterDialysis facility · Winston Salem, NC
Industry payments (Open Payments)
- 2025$2,102 · 118 payments from 26 companies
- 2024$2,032 · 116 payments from 24 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Travere Therapeutics, Inc. | $260.72 | 13 |
| Astrazeneca Pharmaceuticals LP | $223.29 | 20 |
| Novartis Pharmaceuticals Corporation | $222.58 | 14 |
| Vifor Pharma, Inc. | $182.57 | 7 |
| Mallinckrodt Hospital Products Inc. | $148.67 | 8 |
What the 2025 payments were for
- Food and Beverage$2,102 · 118 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 42 nephrologists in Winston Salem · All nephrologists in North Carolina