Dr. Robin Frank Spiering, MD

  • El Cajon, CA
  • Internist
NPI1467458729PAC ID1052349198
Medicare services, 2024
2,163
Medicare patients, 2024
509
Part D claims, 2024
16,822
Hospital affiliations
3
Industry payments
$19,421
Practice address
278 Avocado Ave, El Cajon, CA 92020
Practice phone
Call (619) 456-9292
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

MD Care and Associates

El Cajon, California

See all 8 affiliations

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Dr. Robin Frank Spiering is an internist in El Cajon, California

Dr. Spiering practices at MD Care and Associates in El Cajon, California.

Dr. Spiering's NPI, 1467458729, was assigned on June 22, 2005. Dr. Spiering graduated from Georgetown University School Of Medicine in 1995. Dr. Spiering holds California license A61899.

NPI and contact details
Medicare PAC ID
1052349198
NPI enumeration date
June 22, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(619) 456-9292
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
57
Medical school graduation
1995

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Robin Frank Spiering practices at MD Care and Associates in El Cajon, California

Dr. Spiering's primary practice is MD Care and Associates, at 278 Avocado Ave, El Cajon, CA 92020 in San Diego County. The practice phone is (619) 456-9292.

  • MD Care and Associates
    278 Avocado Ave, El Cajon, CA 92020 · San Diego CountyPhone(619) 456-9292

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Robin Frank Spiering is affiliated with 8 sites of care

Dr. Spiering's primary practice is MD Care and Associates in El Cajon, California. Dr. Spiering is also affiliated with Sharp Memorial Hospital. Dmand AI also links Dr. Spiering to 2 more hospitals, 3 home health agencies and 1 physician office, each named with a free account.

See all 8 affiliations for Dr. Spiering

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Robin Frank Spiering's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Spiering practices, 7 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
MD Care and AssociatesAvailable with a free account
+7 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Robin Frank Spiering is one of 16,751 internists in California

Internal medicine is Dr. Spiering's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Spiering is board certified in internal medicine by the American Board of Internal Medicine. Dr. Spiering is licensed in California.

Specialties and state licenses

  • Internal medicine, CaliforniaPrimaryLicense A61899 · 1997 to 2027 · taxonomy 207R00000X

Clinical focus

Dmand AI lists acid reflux, acute sinusitis, acute skin infection, alcohol use disorders, alzheimer's disease, aneurysm, ankle or foot injury and anxiety among the conditions Dr. Spiering treats.

Internists near Dr. Spiering

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Robin Frank Spiering billed Medicare for 2,163 services in 2024

CMS data shows 2,163 Medicare services from Dr. Spiering across 16 procedure codes in 2024, for 509 Medicare patients. Medicare paid $139,015 for them. Every service was in an office.

Medicare services, 20242,163
Medicare patients509
Paid by Medicare$139,015
Procedure codes16

Dr. Spiering's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4,4472024: 1,59064%
Tests and treatments
2023: 6892024: 28858%
Other services
2023: 9032024: 24173%
Surgery
2023: 1172024: 4462%
Lab and pathology
2023: 132024: 0100%

Dr. Spiering compared with the California median for internists, 2024

  • Dr. Spiering
  • California median
Medicare services
2,163vs 3616.0 times
Medicare patients
509vs 1513.4 times
Part D claims
16,006vs 42138.0 times

Medians across 15,815 internists in California with Dmand AI profiles that report each measure.

Dr. Spiering's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Spiering

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Robin Frank Spiering treated 509 Medicare patients in 2024, average age 75

CMS counts 509 Medicare patients who saw Dr. Spiering in 2024. The largest group is 65 to 74, with 216 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 10% are also on Medicaid. Their average risk score is 1.30, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Spiering's median patient age at 69, with 49% women.

Medicare patients, 2024509
Average age75
Average risk score1.30
Also on Medicaid10%

Dr. Spiering's Medicare patients by age, 2024

Dr. Spiering's Medicare patients by sex, 2024

  • Women25750%
  • Men25250%

Chronic conditions among Dr. Spiering's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis43%
  4. Chronic kidney disease41%
  5. Diabetes32%
  6. Mood disorders32%
  7. Depression31%
  8. COPD20%

Share of Medicare patients with each condition. A patient can have several.

Dr. Spiering's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women49%
  • Men49%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Robin Frank Spiering wrote 16,822 Medicare Part D claims in 2024

In 2024, Dr. Spiering wrote 16,822 Medicare Part D claims for 1,093 patients. 87% of them were for generic drugs. CMS names the drug for 16,006 of them, across 191 drugs with 11 or more claims each, at $1,827,573 in total drug cost. In 2023, CMS named 17,218 claims across 187 drugs.

Part D claims, 202416,822
Drugs named by CMS191
Total drug cost$1.8M
Part D patients1,093

Dr. Spiering's Part D claims by kind of drug, 2024

  • Generic14,705 claims87%
  • Brand-name2,019 claims12%
  • Other98 claims1%

Dr. Spiering's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Spiering's Part D claims, 2024

  • Opioids1%214 of 16,822 claims
  • Antibiotics1%250 of 16,822 claims
  • Antipsychotics, patients 65 and over0%62 of 16,822 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 17,2182024: 16,0067%

Drugs named by CMS: 191 in 2024, 187 in 2023.

See all prescribing by Dr. Spiering

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Robin Frank Spiering ranks in the 74th percentile for removal of skin lesions in Medicare

Dr. Spiering accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Spiering as offering telehealth. CMS counts 72 procedures of removal of skin lesions by Dr. Spiering, more than 74% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Where Dr. Spiering ranks in Medicare procedure volume

Removal of skin lesions
74th percentile72 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

For MedTech and pharma teams

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Dr. Robin Frank Spiering received $19,421 in industry payments from 2016 to 2025

CMS Open Payments shows 804 general payments to Dr. Spiering from 62 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. AstraZeneca Pharmaceuticals LP paid the most, $2,409.

General payments to Dr. Spiering by program year, 2016 to 2025

General payments to Dr. Spiering by kind, 2016 to 2025

$19.4Kin total
  • Food and beverage$19,31799%
  • Education$1051%

Companies that paid Dr. Spiering the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Spiering

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Robin Frank Spiering graduated from Georgetown University School Of Medicine

Dr. Spiering graduated from Georgetown University School Of Medicine in 1995.

  1. Medical schoolGeorgetown University School Of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Robin Frank Spiering accepts plans from 11 insurance carriers

Dr. Spiering is in network with 11 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Aspirus Health Plan
  • +3 more carriersWith a free account

Plan types Dr. Spiering accepts, by number of carriers

  1. Medicare8
  2. PPO8
  3. POS5
  4. EPO3
  5. HMO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Robin Frank Spiering's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Robin Frank Spiering

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Robin Frank Spiering's NPI number?

Dr. Robin Frank Spiering's NPI number is 1467458729. It was assigned on June 22, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Robin Frank Spiering?

Dr. Robin Frank Spiering is an internist in El Cajon, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Robin Frank Spiering practice?

Dr. Spiering practices at 278 Avocado Ave, El Cajon, CA 92020. Dr. Spiering's primary practice is MD Care and Associates in El Cajon, California. Dmand AI also links Dr. Spiering to 2 hospitals, 3 home health agencies and 1 physician office.

What is Dr. Robin Frank Spiering's office phone number?

The practice phone on file for Dr. Spiering is (619) 456-9292.

What is Dr. Robin Frank Spiering's medical license number?

Dr. Spiering holds California license A61899.

Which hospitals is Dr. Robin Frank Spiering affiliated with?

Dr. Spiering is affiliated with Sharp Memorial Hospital. Dmand AI links Dr. Spiering to 2 more hospitals.

Does Dr. Robin Frank Spiering accept Medicare?

Yes. CMS data shows Dr. Spiering billed Medicare for 2,163 services in 2024, and Dr. Spiering accepts Medicare assignment.

Does Dr. Robin Frank Spiering offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Spiering as offering telehealth services.

How many Medicare patients does Dr. Robin Frank Spiering see?

CMS counts 509 Medicare patients who saw Dr. Spiering in 2024, with an average age of 75.

Is Dr. Robin Frank Spiering board certified?

Yes. Dr. Spiering is board certified in internal medicine by the American Board of Internal Medicine.

Show 6 more questionsShow fewer questions

What services does Dr. Robin Frank Spiering bill to Medicare?

In 2024, Dr. Spiering's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and care management and other visits (99454).

Where did Dr. Robin Frank Spiering go to medical school?

Dr. Spiering graduated from Georgetown University School Of Medicine in 1995.

What drugs does Dr. Robin Frank Spiering prescribe most?

In 2024 Medicare Part D data, Dr. Spiering's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Lisinopril.

Has Dr. Robin Frank Spiering received payments from drug or device companies?

CMS Open Payments shows $19,421 in general payments to Dr. Spiering from 62 companies from 2016 to 2025. The largest total came from AstraZeneca Pharmaceuticals LP.

How long has Dr. Robin Frank Spiering been practicing?

Dr. Spiering graduated from medical school in 1995, 31 years ago.

What insurance does Dr. Robin Frank Spiering accept?

Dr. Spiering is in network with 11 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

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