Alexander I. Spira, M.D.
NPI 1902874514ActiveIndividual· Internal Medicine, Medical Oncology· Fairfax, VA
Internal Medicine, Medical Oncology (M.D.) in Fairfax, Virginia, trained at New York University School of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $3,387,760 for 491 claims, against $2,053,133 paid for services in 2024. Janssen Biotech, Inc. was the largest of 33 companies reporting payments in 2025, $106,744 in all, mostly consulting fees.
Overview
| NPI | 1902874514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 9, 2006 |
| Last updated in NPPES | Nov 11, 2025 |
| Certified by provider | Nov 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Medical Oncology Primary | 207RX0202X | 0101234594 | 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 - Medical Oncology (DC); Practitioner - Medical Oncology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,073 |
|---|---|
| Services billed | 122,350 across 191 procedure codes |
| Paid by Medicare | $2,053,133 |
Part D prescriptions in 2024
| Prescriptions (claims) | 491 · 641 30-day fills |
|---|---|
| Patients | 96 |
| Total drug cost | $3,387,760 |
| Generic share | 52% of claims |
Education and affiliations
| Medical school | New York University School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Medical Oncology |
| Telehealth | Offers telehealth |
Medical group
- Virginia Cancer Specialists, P.C.Arlington, VA · 82 clinicians
Hospital affiliations
- Inova Fairfax HospitalFalls Church, VA
- Inova Loudoun HospitalLeesburg, VA
- Reston Hospital CenterReston, VA
- Sentara Northern Virginia Medical CenterWoodbridge, VA
- Virginia Hospital CenterArlington, VA
Industry payments (Open Payments)
- 2025$106,744 · 91 payments from 33 companies
- 2024$75,639 · 129 payments from 30 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $20,608 | 7 |
| Merck Healthcare Kgaa | $15,702 | 5 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $13,423 | 14 |
| Janssen Global Services, LLC | $8,063 | 2 |
| Janssen Scientific Affairs, LLC | $7,275 | 3 |
What the 2025 payments were for
- Consulting Fee$86,996 · 28 payments
- Travel and Lodging$12,179 · 17 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$5,850 · 2 payments
- Food and Beverage$1,719 · 44 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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