Active NPI 1023508892 Individual Practitioner Male Practitioner

Dr. Alan J Spanel , MD

Internal Medicine • Norfolk, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Spanel, MD is a certified Internal Medicine practicing in Norfolk, NE. With approximately 8 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2018, Dr. Spanel delivers high-quality medical care to the local community at 3901 W NORFOLK AVE.

Dr. Spanel maintains professional affiliations with Sacred Heart Health Services, Yankton Medical Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3901 W Norfolk Ave

Norfolk, NE 687014405

Telephone 4023164606

Fax 4023163469

Associated Practice Facility / Clinic

🏢 Heidi Goehmann, Lcsw, Limhp Facility NPI 1861008112

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Norfolk, NE

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -6.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Norfolk, NE (834 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spanel (8 Years) 8 Yrs

Norfolk Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,340	24	$63.00	$25.70
99213 Established patient office or other outpatient visit, typically 15 minutes	376	165	$165.29	$83.30
36415 Insertion of needle into vein for collection of blood sample	334	180	$14.00	$8.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	148	$234.83	$117.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	165	24	$7.00	$0.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	122	39	$185.11	$98.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	48	$305.52	$164.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	31	$67.00	$13.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$194.00	$118.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	28	$138.45	$68.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	46	46	$616.00	$290.48
G0009 Administration of pneumococcal vaccine	46	46	$25.30	$24.79
G0008 Administration of influenza virus vaccine	43	43	$29.00	$28.42
90662 Influenza vaccine split virus, preservative free	42	42	$85.00	$81.82
20610 Aspiration and/or injection of fluid from large joint	30	23	$287.50	$67.08
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$131.00	$12.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$309.00	$152.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$288.00	$151.34
81002 Urinalysis, manual test	21	19	$23.00	$3.41
83036 Hemoglobin A1C level	17	13	$45.00	$9.52
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	14	$41.00	$16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	12	$135.00	$50.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$389.00	$201.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$105.00	$51.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,800	20	$61.83	$23.44
36415 Insertion of needle into vein for collection of blood sample	324	145	$14.00	$8.33
99213 Established patient office or other outpatient visit, typically 15 minutes	273	148	$147.00	$83.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	133	$207.00	$116.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	117	37	$177.00	$99.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	22	$7.00	$1.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	49	$282.00	$165.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	75	33	$129.00	$68.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	24	$67.00	$13.07
G0008 Administration of influenza virus vaccine	53	51	$29.00	$28.38
90662 Influenza vaccine split virus, preservative free	51	49	$74.71	$71.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$194.00	$119.41
G0009 Administration of pneumococcal vaccine	28	28	$25.30	$24.79
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	28	28	$578.89	$282.03
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$131.00	$13.17
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	25	23	$135.00	$50.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$288.00	$152.54
20610 Aspiration and/or injection of fluid from large joint	23	22	$236.48	$62.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$309.00	$153.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$389.00	$202.25
81002 Urinalysis, manual test	18	18	$23.00	$3.29
99306 Initial nursing facility visit, typically 45 minutes per day	16	15	$318.00	$169.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	14	13	$41.00	$16.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$220.00	$116.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	301	170	$147.00	$84.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	123	$207.00	$119.72
36415 Insertion of needle into vein for collection of blood sample	170	111	$14.00	$2.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	57	14	$7.00	$1.17
G0008 Administration of influenza virus vaccine	39	37	$29.00	$27.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	15	$67.00	$13.36
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	36	36	$575.00	$277.57
G0009 Administration of pneumococcal vaccine	36	36	$25.30	$24.89
90662 Influenza vaccine split virus, preservative free	36	34	$69.72	$68.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$309.00	$155.14
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	30	27	$135.00	$50.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$288.00	$155.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	18	$177.00	$83.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$279.00	$168.21
81002 Urinalysis, manual test	24	19	$23.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$131.00	$13.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	18	$129.00	$63.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$389.00	$204.95
87804 Detection test by immunoassay with direct visual observation for influenza virus	17	16	$41.00	$16.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$194.00	$121.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$90.00	$52.34
69209 Removal of impacted ear wax by washing	12	11	$48.75	$16.63
20610 Aspiration and/or injection of fluid from large joint	12	12	$231.25	$61.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	48	$207.00	$122.00
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$147.00	$85.78
36415 Insertion of needle into vein for collection of blood sample	31	26	$14.00	$3.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	22	17	$135.00	$51.31
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$100.00	$85.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$270.00	$170.39
G0008 Administration of influenza virus vaccine	11	11	$29.00	$15.84

Medical Specialties & State Licenses

CMS Verified: 2021-08-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NE 33797

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Yankton Medical Clinic Pc

3901 W Norfolk Ave G, Norfolk, NE 687019218

Phone: 4023164606

Sacred Heart Health Services

3901 W Norfolk Ave, Norfolk, NE 687014405

Phone: 6056557841

Sacred Heart Health Services

405 W Darlene St, Hartington, NE 687390937

Phone: 4022543935

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Charles Harper , MD

Internal Medicine

NPI 1063620961

Doctor of Medicine (M.D.)

Kelly Jueden , APRN

Nurse Practitioner

NPI 1679868301

Advanced Practice Registered Nurse

Jean Suehl , APRN

Nurse Practitioner - Gerontology

NPI 1861706756

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 18, 2021

Registered at 3901 W NORFOLK AVE, NORFOLK, NE 687014405 (Tel: 4023164606)

📍

Updated Business Mailing Address August 18, 2021

Registered at 1104 W 8TH ST, YANKTON, SD 570783306 (Tel: 6056657841)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Internal Medicine (License #33797 in NE)

✅

NPI Profile Active May 16, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2018

Registered at 982055 NEBRASKA MEDICAL CTR, OMAHA, NE 681982055 (Tel: 4025596329)

📍

Updated Business Mailing Address May 16, 2018

Registered at 982055 NEBRASKA MEDICAL CTR, OMAHA, NE 681982055 (Tel: 4025596329)

👤

Provider Name / Credentials Updated May 16, 2018

Recorded as ALAN SPANEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Internal Medicine (License #8168 in NE)

🟢

Initial NPI Registration & Enumeration May 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023508892

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2018

Last Update: August 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1104 W 8th St

Yankton, SD 570783306

Phone: 6056657841

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.