David Spiegel, MD
Psychiatry · Norfolk, VANPI 1518934728
Payments from drug & device makers
Across 1,049 payments — averaging $538.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$188K
- Alkermes, Inc.$168K
- AbbVie$132K
- Otsuka America Pharmaceutical, Inc.$65K
- Vanda Pharmaceuticals Inc.$6K
- E.r. Squibb & Sons, L.L.C.$1K
- plus $3K from 11 others
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 214 | $188,333 |
| Alkermes, Inc. | 188 | $168,367 |
| AbbVie(2 entities) | 350 | $132,130 |
| Otsuka America Pharmaceutical, Inc. | 122 | $65,404 |
| Vanda Pharmaceuticals Inc. | 11 | $6,489 |
| E.r. Squibb & Sons, L.L.C. | 15 | $1,379 |
| Lundbeck LLC | 55 | $785 |
| Sunovion Pharmaceuticals Inc. | 35 | $467 |
| Eisai Inc. | 14 | $453 |
| Johnson & Johnson | 14 | $257 |
| Teva Pharmaceuticals USA, Inc. | 9 | $181 |
| Neurocrine Biosciences, Inc. | 7 | $137 |
| Axsome Therapeutics, Inc. | 5 | $123 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $103 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 2 | $68 |
| Supernus Pharmaceuticals, Inc. | 1 | $60 |
| Sage Therapeutics, LLC | 1 | $28 |
How this compares
$564,765 in reported general payments places this provider in the 95th percentile of 884 psychiatry providers in Virginia.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other psychiatry in Norfolk
- James RapleyNorfolk$98K
- Christine TrumanNorfolk$13K
- Niku SinghFalls Church$2.5M
- David ScheidererRoanoke$2.4M
- Kent McDanielGlen Allen$2.1M
- Jasdeep MiglaniManassas$958K
- Frederick MoellerRichmond$678K
- Christopher van EyckStafford$392K
- Anita ClaytonCharlottesville$356K
- Anita KablingerRoanoke$333K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.