2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1649243049 MD
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SETH SPOTNITZ, MD

Sleep Medicine (Psychiatry & Neurology) Physician in GADSDEN, Alabama. 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
34
Medicare Part D claims · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
15%
generic claims · 85% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

SETH SPOTNITZ, MD filed 34 Medicare Part D claims in 2023 as a Sleep Medicine (Psychiatry & Neurology) Physician in GADSDEN, Alabama, prescribing 15% generic.

34
Part D claims, 2023
15%
generic prescribing

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.

SETH SPOTNITZ, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

34 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

SETH SPOTNITZ, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SETH SPOTNITZ, MD?

Quality data not reported

NPI registry status

Active

Issued 02/08/2006

NPI 1649243049

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

34 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

Specialty distribution in Alabama

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Alabama providers

Alabama providers

Sleep Medicine (Psychiatry & Neurology) Physician share within Alabama

1. Sleep Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Psychiatry & Neurology) Physician share within Alabama

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Psychiatry & Neurology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Psychiatry & Neurology) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Psychiatry & Neurology) Physician) — ABMS / AOA estimate

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).

SETH SPOTNITZ, MD appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 100 MEDICAL CENTER DR, GADSDEN, AL, 35903, with a listed phone of (256) 492-3571. NPI 1649243049 was issued on 02/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPOTNITZ 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 34 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $418K in drug spend, split 85% brand-name and 15% 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.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 states and an average of 1,005 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

100 MEDICAL CENTER DR
GADSDEN, AL 35903

Provider Details

NPI 1649243049
Specialty Sleep Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 02/08/2006

Brand vs generic prescribing mix · Brand-heavy

SETH SPOTNITZ, MD — brand share 85.0%
Specialty average (est.)

85% brand-name claims vs 15% generic, on 34 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.

34
Total Claims
$418K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
743
Brand vs Generic
85% brand / 15% generic
Brand Drug Cost
$418K

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gamunex-C
Immune Globul G/Gly/Iga Avg 46
17

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

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How SETH SPOTNITZ, MD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider

SETH SPOTNITZ, MD's 34 claims are below the specialty average of 1,005.

Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in Alabama

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

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SETH SPOTNITZ, MD's specialty?
SETH SPOTNITZ, MD specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in GADSDEN, Alabama. Credentials: MD.
How much does SETH SPOTNITZ, MD prescribe under Medicare Part D?
In 2023, SETH SPOTNITZ, MD wrote 34 Medicare Part D claims totaling $418K in drug costs for N/A beneficiaries.
Where is SETH SPOTNITZ, MD located?
SETH SPOTNITZ, MD is located at 100 MEDICAL CENTER DR, GADSDEN, AL, 35903. Phone: (256) 492-3571.
What is SETH SPOTNITZ, MD's NPI number?
SETH SPOTNITZ, MD's National Provider Identifier (NPI) is 1649243049, issued on 02/08/2006.
Does SETH SPOTNITZ, MD prescribe more brand-name or generic drugs?
SETH SPOTNITZ, MD's prescribing is 85% brand-name and 15% generic drugs by claim count, with $418K in brand drug costs.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does SETH SPOTNITZ, MD prescribe most often?
Based on 2023 Medicare Part D data, SETH SPOTNITZ, MD's most frequently prescribed drugs include Gamunex-C. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SETH SPOTNITZ, MD accept Medicare?
SETH SPOTNITZ, MD appears in CMS Medicare data with 34 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SETH SPOTNITZ, MD's credentials?
SETH SPOTNITZ, MD's NPI is 1649243049 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.
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