2026 NPPES data Family Medicine Physician NPI 1316387079 D.O.
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TAMERA SPANGLER, D.O.

Family Medicine Physician in IRVINE, Kentucky. 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
6K
Medicare Part D claims · 538 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5077/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$758.58
42 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TAMERA SPANGLER, D.O. reported a CMS MIPS final score of 95.5077/100 — above the 83.1 national average — and filed 6,410 Medicare Part D claims in 2023.

95.5077/100
MIPS score · +12 vs avg
6K
Part D claims, 2023
84%
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.

TAMERA SPANGLER, D.O.'s MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

TAMERA SPANGLER, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 TAMERA SPANGLER, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 06/26/2013

NPI 1316387079

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,410 88% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

95.5077/100 12.407700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Family Medicine Physician share within Kentucky

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Kentucky

Medicare quality performance — MIPS

TAMERA SPANGLER, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.5077/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 95.5077/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Family Medicine Physician) — 95.5077/100 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).

TAMERA SPANGLER, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 1100 RICHMOND RD, IRVINE, KY, 40336, with a listed phone of (606) 723-7706. NPI 1316387079 was issued on 06/26/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPANGLER 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 6,410 prescription claims written by this provider, covering 538 Medicare beneficiaries and totaling roughly $843K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 0.4%. 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 95.5077/100 for the 2023 performance year (Quality 89.5953), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1100 RICHMOND RD
IRVINE, KY 40336

Provider Details

NPI 1316387079
Specialty Family Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 06/26/2013

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TAMERA SPANGLER, D.O. 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.

BAPTIST HEALTH MEDICAL GROUP INC
RICHMOND, KY
H2 REHABILITATION SERVICES OF KENTUCKY, LLC
RICHMOND, KY

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for TAMERA SPANGLER, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$759

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

TAMERA SPANGLER, D.O. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 6,410 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.

6,410
Total Claims
$843K
Total Drug Cost
538
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,427
Total Day Supply
451,247
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$714K
Generic Drug Cost
$126K
Opioid Claims
28 (0.4% rate)
Antibiotic Claims
179

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.21
Gender Split
72% female / 28% male
Age Distribution
<65: 89, 65-74: 259, 75-84: 153, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

What TAMERA SPANGLER, D.O. 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
Levothyroxine Sodium
289
Atorvastatin Calcium
217
Amlodipine Besylate
212
Lisinopril
189
Pravastatin Sodium
152
Omeprazole
147
Pantoprazole Sodium
145
Losartan Potassium
143
Montelukast Sodium
131
Metformin Hcl
130

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

Family Medicine Physician Overview

How TAMERA SPANGLER, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

TAMERA SPANGLER, D.O.'s 6,410 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Kentucky

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TAMERA SPANGLER, D.O.'s specialty?
TAMERA SPANGLER, D.O. specializes in Family Medicine Physician and practices in IRVINE, Kentucky. Credentials: D.O..
How much does TAMERA SPANGLER, D.O. prescribe under Medicare Part D?
In 2023, TAMERA SPANGLER, D.O. wrote 6,410 Medicare Part D claims totaling $843K in drug costs for 538 beneficiaries.
What is TAMERA SPANGLER, D.O.'s Medicare quality score?
TAMERA SPANGLER, D.O. has a CMS MIPS Final Score of 95.5077/100 (Quality: 89.5953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TAMERA SPANGLER, D.O. located?
TAMERA SPANGLER, D.O. is located at 1100 RICHMOND RD, IRVINE, KY, 40336. Phone: (606) 723-7706.
What is TAMERA SPANGLER, D.O.'s NPI number?
TAMERA SPANGLER, D.O.'s National Provider Identifier (NPI) is 1316387079, issued on 06/26/2013.
Does TAMERA SPANGLER, D.O. prescribe more brand-name or generic drugs?
TAMERA SPANGLER, D.O.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $714K in brand drug costs.
Does TAMERA SPANGLER, D.O. prescribe opioids?
Yes, TAMERA SPANGLER, D.O. had 28 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does TAMERA SPANGLER, D.O. prescribe most often?
Based on 2023 Medicare Part D data, TAMERA SPANGLER, D.O.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TAMERA SPANGLER, D.O. accept Medicare?
TAMERA SPANGLER, D.O. appears in CMS Medicare data with 6,410 Part D claims and 538 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TAMERA SPANGLER, D.O.'s credentials?
TAMERA SPANGLER, D.O.'s NPI is 1316387079 with credentials D.O.. 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