Crystal Marie Smith-Spangler, MD
NPI 1649450503ActiveIndividual· Internal Medicine· Palo Alto, CA
Internal Medicine (MD) in Palo Alto, California, trained at University of North Carolina at Chapel Hill School of Medicine (class of 2005). Their prescriptions cost Medicare Part D more than their services did: $307,110 for 3,145 claims, against $97,674 paid for services in 2024. Medtronic, Inc. reported $148.00 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1649450503 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 8, 2007 |
| Last updated in NPPES | Jun 5, 2020 |
| Certified by provider | Jun 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A96495 | 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 | 275 |
|---|---|
| Services billed | 970 across 31 procedure codes |
| Paid by Medicare | $97,674 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,145 · 7,307 30-day fills |
|---|---|
| Patients | 277 |
| Total drug cost | $307,110 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliations
- El Camino HealthMountain View, CA
- Peninsula Medical CenterBurlingame, CA
- Stanford Health CareStanford, CA
Other facilities
- Best Home Health Providers, IncHome health agency · Hayward, CA
- Sutter Care at HomeHome health agency · San Mateo, CA
- Sutter Care at HomeHome health agency · Saratoga, CA
Industry payments (Open Payments)
- 2024$148.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $148.00 | 1 |
What the 2024 payments were for
- Food and Beverage$148.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 196 internal medicine physicians in Palo Alto · All internal medicine physicians in California