John Sproul, PA
NPI 1821393786 · Physician Assistant · Fishersville, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Sproul, PA is a Physician Assistant provider in Fishersville, VA (NPI 1821393786).
Provider details
- NPI number
- 1821393786
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 0110007872 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
714 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 | 400 | $79 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 181 | $117 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 85 | $54 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 33 | $148 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $109 |
Typical Medicare-allowed amounts for these services range $54–$148 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 186 | 79 |
| Apixabanbrand: Eliquis | 152 | 41 |
| Losartan Potassium | 133 | 53 |
| Atorvastatin Calcium | 108 | 41 |
| Hydrochlorothiazide | 93 | 35 |
| Furosemide | 92 | 49 |
| Amlodipine Besylate | 79 |
Practice location
Mailing address
Additional practice locations (1)
- 1215 Lee StCharlottesville, VA 22908-0816Phone: (434) 924-2101Fax: (434) 982-2580
Registry dates
- Enumerated
- 2011-01-24
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Frequently asked questions
- What is John Sproul's NPI number?
- John Sproul's National Provider Identifier (NPI) is 1821393786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Sproul's specialty?
- John Sproul is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Sproul located?
- John Sproul's practice location on file with NPPES is 57 Beam Ln Ste 205, Fishersville, VA 22939-2350.
- What is John Sproul's phone number?
- The practice phone number listed in the NPPES registry for John Sproul is (434) 243-7121.
- Does John Sproul accept Medicare?
- John Sproul is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Sproul's NPI active?
- Yes — John Sproul's NPI (1821393786) is active in the NPPES registry as of the last update on 2023-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.