JOEL GREGORY SPRUNGER PHD
NPI 1013579572
Psychologist - Addiction (Substance Use Disorder) in Cincinnati, OH

Active since July 05, 2019PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3131 HARVEY AVE, CINCINNATI, OH 45229(513) 585-8298(513) 585-9736 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2019, Sep 17, 2019, Jul 5, 2019 (3 updates tracked since 2019).

About Joel Gregory Sprunger Phd NPPES

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

JOEL GREGORY SPRUNGER PHD (NPI 1013579572) is an individual addiction (substance use disorder) provider in Cincinnati, Ohio, licensed in Ohio (P07960) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013579572
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameJOEL GREGORY SPRUNGERCredential: PHD
Location Address3131 HARVEY AVECincinnati, OH 45229-3000
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 245-3104 · Fax (513) 585-5511
Fax(513) 585-9736
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2019
Last NPPES UpdateOctober 16, 20193 updates tracked since enumeration
NPI 1013579572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License Licensed in OH · P07960
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
3131 HARVEY AVE, Cincinnati, OH 45229

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

Joel Gregory Sprunger Phd 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 ID9436581915
PECOS Enrollment IDI20191121002573
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.

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
3131 HARVEY AVE
CINCINNATI, OH 45229
Psychiatry & Neurology (Addiction Medicine)
3131 HARVEY AVE
CINCINNATI, OH 45229
Counselor
3131 HARVEY AVE
CINCINNATI, OH 45229
Clinic/Center (Rehabilitation, Substance Use Disorder)
3131 HARVEY AVE
CINCINNATI, OH 45229
Internal Medicine
3131 HARVEY AVE, SUITE 104
CINCINNATI, OH 45229
Obstetrics & Gynecology
3131 HARVEY AVE, SUITE 204
CINCINNATI, OH 45229
Student in an Organized Health Care Education/Training Program
3131 HARVEY AVE
CINCINNATI, OH 45229
Counselor (Addiction (Substance Use Disorder))
3131 HARVEY AVE
CINCINNATI, OH 45229

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 Joel Sprunger's NPI number?

The NPI number for Joel Sprunger is 1013579572. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Joel Sprunger located?

Joel Sprunger practices at 3131 Harvey Ave, Cincinnati, OH 45229. The listed phone number is (513) 585-8298.

What is Joel Sprunger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Joel Sprunger enrolled in Medicare?

Yes. Joel Sprunger 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 Joel Sprunger accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Joel Sprunger 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 Joel Sprunger affiliated with any hospitals?

According to CMS data, Joel Sprunger is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Joel Sprunger was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.