Gary W. Spangler Jr., M.D.
NPI 1952395048ActiveIndividual· Family Medicine· Alvin, TX
Family Medicine (M.D.) in Alvin, Texas, trained at Texas Tech University Health Science Center School of Medicine (class of 2000). Their prescriptions cost Medicare Part D more than their services did: $1,198,088 for 13,154 claims, against $148,461 paid for services in 2024. Philips North America LLC was the largest of 3 companies reporting payments in 2025, $51.45 in all, mostly food and beverage.
Overview
| NPI | 1952395048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2005 |
| Last updated in NPPES | Feb 23, 2025 |
| Certified by provider | Feb 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | L4728 | TX |
| Case Management | 251B00000X | — | — |
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 - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 285 |
|---|---|
| Services billed | 3,125 across 52 procedure codes |
| Paid by Medicare | $148,461 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,154 · 13,407 30-day fills |
|---|---|
| Patients | 339 |
| Total drug cost | $1,198,088 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Privia Medical Group Gulf Coast PLLCPearland, TX · 534 clinicians
Hospital affiliation
- HCA Houston Healthcare Clear LakeWebster, TX
Other facilities
- Accentcare Home Health of TexasHome health agency · Galveston, TX
- Centerwell Home HealthHome health agency · League City, TX
- Home Care OptionsHome health agency · Pearland, TX
- Living Hope Home HealthcareHome health agency · Houston, TX
- V & R Health Care Services, LLCHome health agency · Pasadena, TX
- Bluevine HospiceHospice · Houston, TX
- Essential Hospice and Palliative Services, LLC.Hospice · Webster, TX
- Kindred Hospital Clear LakeLong-term care hospital · Webster, TX
- Avir at the LakesNursing home · Texas City, TX
- Bayou Pines Care CenterNursing home · La Marque, TX
- Brazos Healthcare CenterNursing home · Lake Jackson, TX
- Galveston Nursing and Rehabilitation CenterNursing home · Galveston, TX
- Seabreeze Nursing and RehabilitationNursing home · Texas City, TX
Industry payments (Open Payments)
- 2025$51.45 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Philips North America LLC | $18.45 | 1 |
| Inspire Medical Systems, Inc. | $17.77 | 1 |
| Exact Sciences Corporation | $15.23 | 1 |
What the 2025 payments were for
- Food and Beverage$51.45 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 family medicine physicians in Alvin · All family medicine physicians in Texas