2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1619923711 MD
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DANIEL SPILMAN, MD

Sleep Medicine (Otolaryngology) Physician in SANTA CRUZ, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
616
Medicare Part D claims · 236 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.2607/100
▲ 4 pts above national avg 83.1 · [object Object]

What the federal data shows

DANIEL SPILMAN, MD reported a CMS MIPS final score of 87.2607/100 — above the 83.1 national average — and filed 616 Medicare Part D claims in 2023.

87.2607/100
MIPS score · +4 vs avg
616
Part D claims, 2023
95%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DANIEL SPILMAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

87 Top 46% higher than 54% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DANIEL SPILMAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DANIEL SPILMAN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/26/2006

NPI 1619923711

Primary specialty

Sleep Medicine (Otolaryngology) Physician

Rare

98 US NPIs in this specialty

Medicare Part D claims

616 13% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

87.2607/100 4.160700000000006% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Sleep Medicine (Otolaryngology) Physician compares to other specialties among California providers

California providers

Sleep Medicine (Otolaryngology) Physician share within California

1. Sleep Medicine (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Otolaryngology) Physician share within California

Medicare quality performance — MIPS

DANIEL SPILMAN, MD's 2023 MIPS final score plotted against the Sleep Medicine (Otolaryngology) Physician national average

High performer (top quartile)
MIPS Final Score
87.2607/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 87.2607/100 vs national avg 83.1

0%100%National avg83%87.3%
MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 87.2607/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DANIEL SPILMAN, MD appears in the CMS NPPES registry as a Sleep Medicine (Otolaryngology) Physician provider holding MD credentials at 550 WATER ST STE A, SANTA CRUZ, CA, 95060, with a listed phone of (831) 476-4414. NPI 1619923711 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPILMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 616 prescription claims written by this provider, covering 236 Medicare beneficiaries and totaling roughly $26K in drug spend, split 5% brand-name and 95% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.2607/100 for the 2023 performance year (Quality 82.973), compared with the national average of 83.1.

Sleep Medicine (Otolaryngology) Physician is a narrow specialty nationwide, with 98 enrolled providers across 29 states and an average of 543 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

550 WATER ST STE A
SANTA CRUZ, CA 95060

Provider Details

NPI 1619923711
Specialty Sleep Medicine (Otolaryngology) Physician
Credentials MD
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.2607
Final Score
Avg: 83.1
82.973
Quality
85.9138
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DANIEL SPILMAN, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BASS MEDICAL GROUP
FREEDOM, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to DANIEL SPILMAN, MD. To verify DANIEL SPILMAN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DANIEL SPILMAN, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 616 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

616
Total Claims
$26K
Total Drug Cost
236
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,011
Total Day Supply
26,879
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$7K
Generic Drug Cost
$19K
Antibiotic Claims
49

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
0.86
Gender Split
57% female / 43% male
Age Distribution
<65: 16, 65-74: 136, 75-84: 64, 85+: 20

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DANIEL SPILMAN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Fluticasone Propionate
125
Azelastine Hcl
84
Montelukast Sodium
42
Omeprazole
41
Prednisone
36
Ipratropium Bromide
22
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
22
Epinephrine
20
Ofloxacin
20
Fluocinolone Acetonide Oil
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Sleep Medicine (Otolaryngology) Physician Overview

How DANIEL SPILMAN, MD fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.

98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider

DANIEL SPILMAN, MD's 616 claims are above the specialty average of 543.

Nearby Sleep Medicine (Otolaryngology) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as SPILMAN.

Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DANIEL SPILMAN, MD's specialty?
DANIEL SPILMAN, MD specializes in Sleep Medicine (Otolaryngology) Physician and practices in SANTA CRUZ, California. Credentials: MD.
How much does DANIEL SPILMAN, MD prescribe under Medicare Part D?
In 2023, DANIEL SPILMAN, MD wrote 616 Medicare Part D claims totaling $26K in drug costs for 236 beneficiaries.
What is DANIEL SPILMAN, MD's Medicare quality score?
DANIEL SPILMAN, MD has a CMS MIPS Final Score of 87.2607/100 (Quality: 82.973). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DANIEL SPILMAN, MD located?
DANIEL SPILMAN, MD is located at 550 WATER ST STE A, SANTA CRUZ, CA, 95060. Phone: (831) 476-4414.
What is DANIEL SPILMAN, MD's NPI number?
DANIEL SPILMAN, MD's National Provider Identifier (NPI) is 1619923711, issued on 05/26/2006.
Does DANIEL SPILMAN, MD prescribe more brand-name or generic drugs?
DANIEL SPILMAN, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $7K in brand drug costs.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US?
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
What drugs does DANIEL SPILMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, DANIEL SPILMAN, MD's most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DANIEL SPILMAN, MD accept Medicare?
DANIEL SPILMAN, MD appears in CMS Medicare data with 616 Part D claims and 236 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DANIEL SPILMAN, MD's credentials?
DANIEL SPILMAN, MD's NPI is 1619923711 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology