Madison Sprunger, OD
NPI 1831629146 · Optometrist · Marion, IN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Sprunger, OD is a Optometrist provider in Marion, IN (NPI 1831629146).
Provider details
- NPI number
- 1831629146
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 18004037 (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,266 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 295 | $119 |
| Photography of the Retina92250 | 247 | $34 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 115 | $84 |
| Established Patient Complete Exam of Visual System92014 | 85 | $117 |
| Analysis of Substance Using Immunoassay Technique, Multiple Step Method83516 | 82 | $11 |
| Microfluid Analysis of Tears83861 | 80 | $22 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 132 | 44 |
| Prednisolone Acetate | 71 | 56 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 28 | — |
| Timolol Maleate | 19 | — |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 17 | 15 |
| Cyclosporinebrand: Restasis | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$400 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2018-08-15
Frequently asked questions
- What is Madison Sprunger's NPI number?
- Madison Sprunger's National Provider Identifier (NPI) is 1831629146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Sprunger's specialty?
- Madison Sprunger is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Madison Sprunger located?
- Madison Sprunger's practice location on file with NPPES is 3510 S Western Ave, Marion, IN 46953.
- What is Madison Sprunger's phone number?
- The practice phone number listed in the NPPES registry for Madison Sprunger is (765) 662-6594.
- Does Madison Sprunger accept Medicare?
- Madison Sprunger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Sprunger's NPI active?
- Yes — Madison Sprunger's NPI (1831629146) is active in the NPPES registry as of the last update on 2018-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.