Benjamin Sprague, MD
NPI 1942542576 · Student in an Organized Health Care Education/Training Program · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Sprague, MD is a Student in an Organized Health Care Education/Training Program provider in Pittsburgh, PA (NPI 1942542576).
Provider details
- NPI number
- 1942542576
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
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
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
163 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 138 | $75 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 25 | $77 |
Typical Medicare-allowed amounts for these services range $75–$77 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-21
- Last updated
- 2013-03-21
Frequently asked questions
- What is Benjamin Sprague's NPI number?
- Benjamin Sprague's National Provider Identifier (NPI) is 1942542576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Sprague's specialty?
- Benjamin Sprague is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Benjamin Sprague located?
- Benjamin Sprague's practice location on file with NPPES is 200 Lothrop St, Pittsburgh, PA 15213-2536.
- What is Benjamin Sprague's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Sprague is (412) 692-4700.
- Does Benjamin Sprague accept Medicare?
- Benjamin Sprague is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Sprague's NPI active?
- Yes — Benjamin Sprague's NPI (1942542576) is active in the NPPES registry as of the last update on 2013-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.