ST. LOUIS – U.S. District Judge John A. Ross on Tuesday sentenced a former St. Louis County, Missouri, pediatrician to 20 years in prison for prescribing pain pills and other controlled substances in exchange for sex acts, nude photos, or cash.
From at least 2014 through May of 2023, Craig A. Spiegel, now 70, exploited his position to obtain cash, sexual acts or sexual photographs from at least 19 patients, many of whom he began treating as children. Spiegel illegally distributed an “astronomical amount of drugs,” Assistant U.S. Attorney Amy Sestric said in court. Rather than referring patients with a substance use disorder to treatment, Spiegel exploited their disease for his own gratification and prescribed dangerous combinations of addictive drugs to those vulnerable victims. Spiegel pressured and harassed reluctant patients via text messages and became sexually violent with at least one victim, Sestric said. Spiegel met one of his victims when she was only about seven or eight years old and initiated sexual contact years later by preying on her vulnerability when she was going through a divorce, a sentencing memo filed by Sestric said.
Spiegel admitted to prescribing controlled substances to his co-defendant, April Bingham, in exchange for sexual favors. He knew that she was selling some of the drugs and that she was addicted. He prescribed drugs to Bingham using the names of friends and relatives in part to take advantage of their insurance benefits. Bingham then introduced Spiegel to others who paid him or performed sex acts in exchange for controlled substances.
Spiegel’s crimes were only thwarted by an investigation that began with the Bridgeton Police Department. After his indictment, Spiegel lied in an April 2025 hearing in U.S. District Court in St. Louis while accusing police officers of illegally searching his cellular phone. Spiegel falsely claimed, in court and under oath, that he had not signed a consent form authorizing the search of his cellular phone until after the cellular phone data had been extracted by investigators.
The Bridgeton Police Department, the Drug Enforcement Administration, the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), the FBI, and the Missouri Attorney General’s Office Medicaid Fraud Control Unit investigated the case. Assistant U.S. Attorneys Amy Sestric and Jonathan Clow prosecuted the case.
“Dr. Craig Spiegel is no better than a street-level drug dealer. He knowingly exploited individuals struggling with addiction, not to treat them, but to keep them dependent,” said Special Agent in Charge Chris Crocker of the FBI St. Louis Division. “For years, he fueled that addiction to ensure a steady stream of victims for his own sexual gratification. Spiegel didn’t just violate his oath as a physician; he preyed on vulnerable women and put their lives at serious risk of overdose.”
