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Dr. David A. Spiegel, MD

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Specializes in: Adult Cardiology

University of Colorado Denver School of Medicine (1978)

Professional interests include: heart problems

2067 W Vista Way Suite 225
Vista, CA 92083

(760) 630-2550

Dr. David A. Spiegel, MD is a cardiologist in Vista, CA specializing in adult cardiology. He graduated from University of Colorado Denver School of Medicine in 1978 and has 48 years of experience. Dr. David A. Spiegel, MD is affiliated with Scripps Health and Scripps Memorial Hospital Encinitas.

Office Locations

2067 W Vista Way Suite 225
Vista, CA 92083

(760) 630-2550

(760) 726-2305

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Scripps Memorial Hospital Encinitas

906 Sycamore Avenue Suite 104
Vista, CA 92081

(760) 630-2550

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Some issues Dr. David A. Spiegel, MD can help you with:

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

In The News

“Dr. David Spiegel, a cardiologist at Tri-City, said fixing thehospital's oldest buildings would be a bad investment.”—"Tri-City: Fixing old buildings not an option worth considering", The San Diego Union-Tribune, March 2006

“Dr. David Spiegel, a cardiologist at Tri-City, said fixing thehospital s oldest buildings would be a bad investment.”—"Tri-City: Fixing old buildings not an option worth considering", The San Diego Union-Tribune, March 2006

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2012 were cardiac procedures, ultrasound (sonogram), hospital care and inpatient care.

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

ambulatory monitoring	69
cardiac procedures	728
catheterization	113
diagnostic procedures	69
doctor visit	1263
hospital care	377
implant surgery	11
inpatient care	377
minimally invasive procedures	124
stent placement (stenting)	44
stress testing	82
ultrasound (sonogram)	417
vascular procedures	69

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2013 were cardiac procedures, inpatient care, hospital care and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

ambulatory monitoring	56
angioplasty	64
cardiac procedures	693
catheterization	154
diagnostic procedures	58
doctor visit	1144
hospital care	359
implant surgery	16
inpatient care	359
minimally invasive procedures	170
stent placement (stenting)	64
stress testing	88
ultrasound (sonogram)	357
vascular procedures	58

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	591
Female	565

**Ethnicity**
Non-Hispanic White	909
Black	42
Hispanic	123
Asian	61
Other	0
Native American	0

**Age**
From 65 to 74	317
From 75 to 84	412
85 and over	325
Less than 65	102

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2013

Hypertension	75
High Cholesterol	55
Stroke	10
Ischemic Heart Disease	73
Depression	20
Chronic Kidney Disease	39
Asthma	7
Osteoperosis	10
Atrial Fibrilation	27
Heart Failure	42
Chronic Obstructive Pulmonary Disease	20
Diabetes	36
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2014 were cardiac procedures, ultrasound (sonogram), inpatient care and hospital care.

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

ambulatory monitoring	46
angioplasty	40
cardiac procedures	779
catheterization	155
diagnostic procedures	95
doctor visit	1451
hospital care	386
implant surgery	24
inpatient care	386
minimally invasive procedures	179
stent placement (stenting)	40
stress testing	112
ultrasound (sonogram)	401
vascular procedures	95

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	629
Female	590

**Ethnicity**
Non-Hispanic White	972
Black	35
Hispanic	124
Asian	64
Other	0
Native American	0

**Age**
From 65 to 74	327
From 75 to 84	453
85 and over	351
Less than 65	88

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2014

Hypertension	75
High Cholesterol	58
Stroke	9
Ischemic Heart Disease	75
Depression	19
Chronic Kidney Disease	40
Asthma	7
Osteoperosis	12
Atrial Fibrilation	29
Heart Failure	43
Chronic Obstructive Pulmonary Disease	20
Diabetes	36
Dementia	15
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2015 were cardiac procedures, ultrasound (sonogram), inpatient care and hospital care.

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

ambulatory monitoring	39
angioplasty	40
cardiac procedures	828
catheterization	138
diagnostic procedures	78
doctor visit	1419
hospital care	406
implant surgery	15
inpatient care	406
minimally invasive procedures	153
stent placement (stenting)	40
stress testing	126
ultrasound (sonogram)	492
vascular procedures	78

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	1246
Female	1156

**Ethnicity**
Non-Hispanic White	1952
Black	78
Hispanic	244
Asian	88
Other	0
Native American	0

**Age**
From 65 to 74	704
From 75 to 84	852
85 and over	702
Less than 65	144

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2015

Hypertension	75
High Cholesterol	58
Stroke	10
Ischemic Heart Disease	74
Depression	21
Chronic Kidney Disease	39
Asthma	13
Osteoperosis	11
Atrial Fibrilation	31
Heart Failure	46
Chronic Obstructive Pulmonary Disease	19
Diabetes	34
Dementia	14
Cancer	12

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2016 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

angioplasty	38
cardiac procedures	507
catheterization	186
diagnostic procedures	129
doctor visit	648
hospital care	687
implant surgery	22
inpatient care	687
minimally invasive procedures	208
stent placement (stenting)	38
stress testing	63
ultrasound (sonogram)	236
vascular procedures	129

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	422
Female	371

**Ethnicity**
Non-Hispanic White	618
Black	30
Hispanic	81
Asian	44
Other	0
Native American	0

**Age**
From 65 to 74	239
From 75 to 84	287
85 and over	208
Less than 65	59

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2016

Hypertension	75
High Cholesterol	67
Stroke	13
Ischemic Heart Disease	75
Depression	24
Chronic Kidney Disease	47
Asthma	24
Osteoperosis	10
Atrial Fibrilation	35
Heart Failure	53
Chronic Obstructive Pulmonary Disease	22
Diabetes	37
Dementia	17
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2017 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

angioplasty	50
cardiac procedures	497
cardioversion	18
catheterization	164
diagnostic procedures	89
doctor visit	575
hospital care	588
implant surgery	30
inpatient care	576
minimally invasive procedures	194
outpatient care	12
stent placement (stenting)	50
stress testing	51
ultrasound (sonogram)	252
vascular procedures	89

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	343
Female	346

**Ethnicity**
Non-Hispanic White	529
Black	26
Hispanic	76
Asian	38
Other	0
Native American	0

**Age**
From 65 to 74	218
From 75 to 84	243
85 and over	185
Less than 65	43

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2017

Hypertension	75
High Cholesterol	63
Stroke	15
Ischemic Heart Disease	75
Depression	25
Chronic Kidney Disease	48
Asthma	6
Osteoperosis	12
Atrial Fibrilation	32
Heart Failure	55
Chronic Obstructive Pulmonary Disease	22
Diabetes	38
Dementia	15
Cancer	14

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2018 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

angioplasty	38
cardiac procedures	499
cardioversion	12
catheterization	144
diagnostic procedures	87
doctor visit	487
hospital care	591
implant surgery	31
inpatient care	580
minimally invasive procedures	175
outpatient care	11
stent placement (stenting)	38
stress testing	41
ultrasound (sonogram)	283
vascular procedures	87

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	325
Female	315

**Ethnicity**
Non-Hispanic White	492
Black	0
Hispanic	68
Asian	35
Other	22
Native American	0

**Age**
From 65 to 74	205
From 75 to 84	226
85 and over	162
Less than 65	0

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2018

Hypertension	75
High Cholesterol	72
Stroke	15
Ischemic Heart Disease	75
Depression	24
Chronic Kidney Disease	52
Asthma	8
Osteoperosis	11
Atrial Fibrilation	31
Heart Failure	53
Chronic Obstructive Pulmonary Disease	23
Diabetes	38
Dementia	19
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2019 were inpatient care, hospital care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

angioplasty	44
cardiac procedures	459
cardioversion	13
catheterization	158
diagnostic procedures	92
doctor visit	511
hospital care	571
implant surgery	20
inpatient care	571
minimally invasive procedures	178
stent placement (stenting)	44
stress testing	18
ultrasound (sonogram)	263
vascular procedures	92

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	321
Female	280

**Ethnicity**
Non-Hispanic White	480
Black	0
Hispanic	66
Asian	28
Other	13
Native American	0

**Age**
From 65 to 74	172
From 75 to 84	217
85 and over	172
Less than 65	40

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2019

Hypertension	75
High Cholesterol	69
Stroke	15
Ischemic Heart Disease	74
Depression	27
Chronic Kidney Disease	51
Asthma	6
Osteoperosis	12
Atrial Fibrilation	31
Heart Failure	54
Chronic Obstructive Pulmonary Disease	22
Diabetes	37
Dementia	17
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2020 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

angioplasty	26
cardiac procedures	270
catheterization	73
diagnostic procedures	34
doctor visit	327
hospital care	449
implant surgery	14
inpatient care	449
minimally invasive procedures	87
stent placement (stenting)	26
stress testing	15
ultrasound (sonogram)	168
vascular procedures	34

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	217
Female	205

**Ethnicity**
Non-Hispanic White	316
Black	0
Hispanic	55
Asian	23
Other	0
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	145
85 and over	115
Less than 65	39

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2020

Hypertension	75
High Cholesterol	63
Stroke	17
Ischemic Heart Disease	75
Depression	27
Chronic Kidney Disease	56
Asthma	7
Osteoperosis	8
Atrial Fibrilation	30
Heart Failure	54
Chronic Obstructive Pulmonary Disease	18
Diabetes	39
Dementia	19
Cancer	12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2021 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

cardiac procedures	112
catheterization	21
diagnostic procedures	21
doctor visit	335
hospital care	227
inpatient care	227
minimally invasive procedures	21
ultrasound (sonogram)	91
vascular procedures	21

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	184
Female	171

**Ethnicity**
Non-Hispanic White	286
Black	0
Hispanic	41
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	105
From 75 to 84	134
85 and over	97
Less than 65	19

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2021

Hypertension	75
High Cholesterol	65
Stroke	12
Ischemic Heart Disease	73
Depression	25
Chronic Kidney Disease	51
Asthma	7
Osteoperosis	11
Atrial Fibrilation	32
Heart Failure	54
Chronic Obstructive Pulmonary Disease	20
Diabetes	37
Dementia	14
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA during 2022 were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

angioplasty	46
cardiac procedures	212
catheterization	100
diagnostic procedures	31
doctor visit	404
hospital care	256
inpatient care	256
minimally invasive procedures	100
stent placement (stenting)	46
ultrasound (sonogram)	112
vascular procedures	31

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	198
Female	149

**Ethnicity**
Non-Hispanic White	283
Black	0
Hispanic	31
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	132
85 and over	102
Less than 65	19

Conditions of Medicare patients treated by Dr. David A. Spiegel, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	21
Ischemic Heart Disease	58
Depression	24
Chronic Kidney Disease	42
Asthma	10
Osteoperosis	13
Atrial Fibrilation	46
Heart Failure	42
Chronic Obstructive Pulmonary Disease	23
Diabetes	38
Dementia	11
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. David A. Spiegel, MD for Medicare patients.

The highest averages for the top procedures that Dr. David A. Spiegel, MD treated as a cardiologist in Vista, CA were cardiac procedures, hospital care, inpatient care and ultrasound (sonogram).

ambulatory monitoring	52
angioplasty	42
cardiac procedures	507
cardioversion	14
catheterization	127
diagnostic procedures	71
doctor visit	778
hospital care	445
implant surgery	20
inpatient care	443
minimally invasive procedures	144
outpatient care	11
stent placement (stenting)	43
stress testing	66
ultrasound (sonogram)	279
vascular procedures	71

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. David A. Spiegel, MD.

**Gender**
Male	406
Female	377

**Ethnicity**
Black / African American	19
Asian / Pacific Islander	35
Non-Hispanic White	621
Native American / Alaskan Native	0
Hispanic	82
Other	4

**Age**
75 to 84	281
85 and over	219
Less than 65	50
65 to 74	227

Average of Total of Conditions of Medicare patients treated by Dr. David A. Spiegel, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. David A. Spiegel, MD treated were hypertension, ischemic heart disease, high cholesterol and heart failure.

Hypertension	68
High Cholesterol	58
Stroke	12
Ischemic Heart Disease	66
Depression	21
Chronic Kidney Disease	42
Asthma	8
Osteoporosis	10
Heart Failure	45
Chronic Obstructive Pulmonary Disease	19
Diabetes	33
Atrial Fibrillation	29
Dementia	14
Cancer	11

Education & Training

Dr. David A. Spiegel, MD graduated from University of Colorado Denver School of Medicine in 1978. He completed residency at Naval Medical Center San Diego. He is certified by the American Board of Internal Medicine and has a state license in California.

Medical School: University of Colorado Denver School of Medicine (1978)

Residency: Naval Medical Center San Diego (1982)

Board Certification: American Board of Internal Medicine (1982)

Licensed In: California

Affiliations & Hospitals

Dr. David A. Spiegel, MD is associated with these hospitals and organizations:

Scripps Health

Scripps Memorial Hospital Encinitas

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. David A. Spiegel, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$2,166 Brady System $313	Brady Generator $176	WATCHMAN $155	GENERAL THERAPIES $140	GENERAL - BRADY SYSTEMS $137	Other $1,245
BIOTRONIK INC.	$637 Bradycardia products $95	$542
Medtronic Vascular, Inc.	$434 Reveal LINQ $270	Cardiac Diagnostics and Monitoring $52	Amplia MRI $45	Micra $21	STENTS $19	Other $27
AstraZeneca Pharmaceuticals LP	$294 BRILINTA $274	FARXIGA $20
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$279 LifeVest $279
Other	$1,070 XARELTO $162	ENTRESTO $99	Effient $93	ENTRE $77	ELIQUIS $54	Other $585

**Types of Payments**
Food and Beverage	$4,849
Education	$31

Biography

Dr. David Spiegel is a specialist in adult cardiology. Areas of expertise for Dr. Spiegel include heart problems. He is affiliated with Scripps Memorial Hospital Encinitas. According to Scripps Health, new patients are welcome to contact his office in Vista, CA. After attending the University of Colorado Denver School of Medicine, he completed his residency training at Naval Medical Center San Diego. Dr. Spiegel is conversant in German.