Lon Sproles, D.O.
NPI 1295078558 · Emergency Medicine Physician · New York, NY
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lon Sproles, D.O. is a Emergency Medicine Physician provider in New York, NY (NPI 1295078558).
Provider details
- NPI number
- 1295078558
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2850541 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,038 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 503 | $166 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 385 | $8 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 84 | $115 |
| Critical Care, First 30-74 Minutes99291 | 66 | $201 |
Typical Medicare-allowed amounts for these services range $8–$201 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 52 | 49 |
| Prednisone | 34 | 33 |
| Ondansetronbrand: Ondansetron Odt | 32 | 31 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 30 | 30 |
| Cyclobenzaprine Hcl | 25 | 25 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 15 | 15 |
| Methylprednisolone |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-04
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Frequently asked questions
- What is Lon Sproles's NPI number?
- Lon Sproles's National Provider Identifier (NPI) is 1295078558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lon Sproles's specialty?
- Lon Sproles is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lon Sproles located?
- Lon Sproles's practice location on file with NPPES is 175 W 12th St Apt 4d, New York, NY 10011-8208.
- What is Lon Sproles's phone number?
- The practice phone number listed in the NPPES registry for Lon Sproles is (214) 938-7088.
- Does Lon Sproles accept Medicare?
- Lon Sproles is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lon Sproles's NPI active?
- Yes — Lon Sproles's NPI (1295078558) is active in the NPPES registry as of the last update on 2025-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.