Thomas Spangenberg, PA-C
Physician Assistant · Fresno, CA
Thomas Spangenberg, PA-C is a physician assistant with a practice address in Fresno, California, and NPI 1558847640, issued on Jul 12, 2018. Check the license (California 57277, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Thomas Spangenberg
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 57277 CA
Self-reported in NPPES; status is on the state search - Practice location
- 2823 Fresno St, Fresno, CA 93721
- Phone
- (559) 499-6440
- Enumerated
- Jul 12, 2018
- Record last updated
- Feb 9, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210618001130); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 2823 Fresno St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Reem Aboushaar, MDPediatrics Physician1013543933
- Inas Abukraa, M.DFamily Medicine Physician1376115881
Verify Thomas Spangenberg in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 57277Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
79% fewer Medicare Part D claims than the average physician assistant in 2024
171 Medicare Part D claims for 119 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Cefadroxil23 claims
- Dexamethasone20 claims
- Amoxicillin-Clavulanate Potass18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 91.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Emergency Medicine Specialists SCMount Pleasant, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas Spangenberg among 14,451 physician assistant records in California
Thomas Spangenberg, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 52% of them.
- NPI issued2018 · 52% of these records are older, 44% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2019 · median 2018 among the 7,214 with a school on file
- Record last updated2021 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
190 physician assistant records list a practice address in Fresno
They are 190 of the 19,440 NPPES records with a practice address in Fresno, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in Fresno → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Hector Aguilar, PAFresno, CA 937211679710644
- Stephanie Hannah, PA -CFresno, CA 937211568675593
- Steven Hauswirth, PA-CFresno, CA 937211689958159
- Elaine Jimenez-ObesoFresno, CA 937211811031958
- Susie Leroy, PAFresno, CA 937211962654269
- Christopher Liguori, PAFresno, CA 937211396198081
- Michael Marchante, PA-CFresno, CA 937211528455425
- Samuel Morales, PA-CFresno, CA 937211912216995
Common questions
What is Thomas Spangenberg, PA-C's NPI number?
Thomas Spangenberg, PA-C's National Provider Identifier (NPI) is 1558847640, issued on Jul 12, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Thomas Spangenberg, PA-C located?
The NPPES record lists a practice address at 2823 Fresno St, Fresno, CA, 93721. Phone: (559) 499-6440. Providers update this record themselves, so call before visiting.
How can I verify Thomas Spangenberg, PA-C's license?
NPPES lists California license number 57277, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Thomas Spangenberg, PA-C prescribe under Medicare Part D?
In 2024, Thomas Spangenberg, PA-C had 171 Medicare Part D claims for 119 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Thomas Spangenberg, PA-C's MIPS final score?
The 2023 MIPS final score is 91.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.