Matthew Sproul, M.D.
NPI 1619005204 · Family Medicine Physician · Garner, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Sproul, M.D. is a Family Medicine Physician provider in Garner, NC (NPI 1619005204).
Provider details
- NPI number
- 1619005204
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2007-00996 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
457 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 204 | $119 |
| Automated Urinalysis Test81003 | 51 | $2 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 47 | $69 |
| X-Ray of Chest, 2 Views71046 | 41 | $31 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 41 | $104 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 35 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 55 | 55 |
| Cephalexin | 45 | 45 |
| Doxycycline Monohydrate | 32 | 32 |
| Prednisone | 30 | 29 |
| Mupirocin | 16 | 16 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 15 | 15 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 15 | 15 |
Practice location
Mailing address
Additional practice locations (3)
- 110 Kildaire Park DrCary, NC 27518-8162Phone: (919) 859-1136Fax: (919) 859-4240
- 231 N Judd Pkwy NeFuquay Varina, NC 27526-2694Phone: (919) 235-6560Fax: (919) 235-6597
- 2930 Forestville RdRaleigh, NC 27616-8774Phone: (919) 235-6500Fax: (919) 235-6585
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is Matthew Sproul's NPI number?
- Matthew Sproul's National Provider Identifier (NPI) is 1619005204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Sproul's specialty?
- Matthew Sproul is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Sproul located?
- Matthew Sproul's practice location on file with NPPES is 811 US 70 Hwy W, Garner, NC 27529-2541.
- What is Matthew Sproul's phone number?
- The practice phone number listed in the NPPES registry for Matthew Sproul is (919) 235-6565.
- Does Matthew Sproul accept Medicare?
- Matthew Sproul is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Sproul's NPI active?
- Yes — Matthew Sproul's NPI (1619005204) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.