Internal Medicine, Hematology & Oncology · Derry, NH
NPI
1063470011
Since 2006
Specialty
Internal Medicine, Hematology & Oncology
Code 207RH0003X
Group practices
2
Medicare group memberships
Hospitals
5
Hospital affiliations
6 Tsienneto Rd Ste 204
Derry, NH, 03038
Phone (603) 421-2156
Groups this clinician bills Medicare through
Medicare paid, 2024
$6,874
104 services
Medicare patients, 2024
60
Average age 72
Drug cost, 2024
$1.9M
967 prescriptions
Company payments, 2025
$24.76
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Zachary S Spigelman was code 99214 (office e&m - established), 34 times for 18 patients. In total Zachary S Spigelman billed 104 services in 6 codes, and Medicare paid $6,874.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2017-11-06.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Facility | 34 | 18 | $78.40 | $2,666 |
| 99214 Office E&M - Established | Office | 17 | 17 | $75.24 | $1,279 |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 16 | 16 | $12.37 | $198 |
By year: 2022 $52K for 732 services; 2023 $40K for 578 services; 2024 $6,874 for 104 services.
Medicare prescription drug claims, 2024
In 2024, the drug Zachary S Spigelman prescribed most often to Medicare patients was Letrozole, with 58 prescriptions and refills. In total Zachary S Spigelman wrote 967 Medicare prescriptions that cost $1.9M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Letrozole Generic | 58 | 149 | 28 | $952 |
| Lorazepam Generic | 58 | 68 | 39 | $453 |
| Prednisone Generic | 45 | 52 | 19 | $191 |
| Omeprazole Generic | 35 | 66 | 15 | $630 |
| Eliquis Apixaban | 34 | 67 | 13 | $40K |
| Methylprednisolone Generic | 34 | 34 | 26 | $261 |
| Oxycodone Hcl Generic | 30 | 30 | Under 11 | $318 |
| Ondansetron Hcl Generic | 29 | 29 | 17 | $179 |
| Gabapentin Generic | 24 | 26 | 12 | $276 |
| Anastrozole Generic | 21 | 55 | Under 11 | $360 |
| Calquence Acalabrutinib Maleate | 20 | 20 | Under 11 | $290K |
| Nystatin Generic | 20 | 24 | 15 | $534 |
| Duloxetine Hcl Generic | 18 | 28 | Under 11 | $398 |
| Dexamethasone Generic | 17 | 21 | Under 11 | $652 |
| Hydroxyurea Generic | 16 | 30 | Under 11 | $196 |
Brand drugs: - claims; generic drugs: 817 claims; opioid claims: 69.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Zachary S Spigelman $24.76 ($24.76 in general payments such as food, travel and fees) from 1 company. The largest payer was Sobi, Inc with $24.76.
| Company | Payments | Amount |
|---|---|---|
| Sobi, Inc SOBI.ST | 1 | $24.76 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.