MARK A. SPRAGUE M.D.
NPI 1003942699
Orthopaedic Surgery - Orthopaedic Trauma in Pittsfield, MA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
24 PARK STREET, PITTSFIELD, MA 01201(413) 499-6600(413) 442-0744 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark A. Sprague M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A. SPRAGUE M.D. (NPI 1003942699) is an individual orthopaedic trauma provider in Pittsfield, Massachusetts, licensed in Massachusetts (223398) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1003942699
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameMARK A. SPRAGUECredential: M.D.
Location Address24 PARK STREETPittsfield, MA 01201
Mailing Address24 Park StreetPittsfield, MA 01201 · (413) 499-6600 · Fax (413) 442-0744
Fax(413) 442-0744
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 30, 2012
NPI 1003942699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License Licensed in MA · 223398
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

24 PARK STREET, Pittsfield, MA 01201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark A. Sprague M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860422078
PECOS Enrollment IDI20050817000736, I20230323001871
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
138 services108 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services83 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
44 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Fairview Hospital

Critical Access Hospitals · Great Barrington, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221302
Location29 Lewis AvenueGreat Barrington, MA 01230 · Berkshire County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
3 suppliers29 claims29 services$72.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
24 PARK STREET
PITTSFIELD, MA 01201
Occupational Therapist (Hand)
24 PARK STREET
PITTSFIELD, MA 01201
Physician Assistant (Surgical)
24 PARK STREET
PITTSFIELD, MA 01201
Occupational Therapist (Hand)
24 PARK STREET
PITTSFIELD, MA 01201
Orthopaedic Surgery
24 PARK STREET
PITTSFIELD, MA 01201
Orthopaedic Surgery (Orthopaedic Trauma)
24 PARK STREET
PITTSFIELD, MA 01201
Physician Assistant (Surgical)
24 PARK STREET
PITTSFIELD, MA 01201
Orthopaedic Surgery
24 PARK STREET
PITTSFIELD, MA 01201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Sprague's NPI number?

The NPI number for Mark Sprague is 1003942699. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Mark Sprague located?

Mark Sprague practices at 24 Park Street, Pittsfield, MA 01201. The listed phone number is (413) 499-6600.

What is Mark Sprague's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Mark Sprague enrolled in Medicare?

Yes. Mark Sprague is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Sprague accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Sprague as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Sprague affiliated with any hospitals?

According to CMS data, Mark Sprague is affiliated with Berkshire Medical Center, Mercy Medical Ctr and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Mark Sprague was last updated on March 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.