DALE W SPONAUGLE MD
NPI 1023018462
Radiology - Diagnostic Radiology in Medina, NY

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
66.25/100
CMS Quality Rating
200 OHIO ST, MEDINA, NY 14103(585) 798-8054(585) 798-8150 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dale W Sponaugle Md NPPES

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

DALE W SPONAUGLE MD (NPI 1023018462) is an individual diagnostic radiology provider in Medina, New York, licensed in New York (164356) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1985).

NPPES Registry Identity

NPI1023018462
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDALE W SPONAUGLECredential: MD
Location Address200 OHIO STMedina, NY 14103-1063
Mailing Address275 Northpointe Pkwy, Ste 50Amherst, NY 14228-1895 · (716) 692-2160 · Fax (716) 692-4342
Fax(585) 798-8150
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1985
Enumeration DateJuly 28, 2005
Last NPPES UpdateAugust 30, 2017
NPI 1023018462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 164356
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 OHIO ST, Medina, NY 14103

Other Identifiers 12

Other5690902NY · Independent Health
Medicare PINBB3136
Other00020548502NY · Univera Healthcare
Other000525331009NY · Bcbs Wny
Medicare UPINE95651NY
Other201590500Federal Workers Comp
Other164356NY · Workers Compensation
Other117837FFNY · Preferred Care
Other020382600Federal Black Lung
OtherP010164356NY · Rochester Bcbs
Medicaid01257134NY
Other040403006845NY · Fidelis Care New York

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

Dale W Sponaugle Md 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 ID1355318221
PECOS Enrollment IDI20040911000213
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

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.

Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

66.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.66
Improvement Activities40
Cost22.97

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.

Physical Therapist
200 OHIO ST
MEDINA, NY 14103
Emergency Medicine
200 OHIO ST
MEDINA, NY 14103
Speech-Language Pathologist
200 OHIO ST
MEDINA, NY 14103
Occupational Therapy Assistant
200 OHIO ST
MEDINA, NY 14103
Nurse Anesthetist, Certified Registered
200 OHIO ST
MEDINA, NY 14103
Family Medicine
200 OHIO ST
MEDINA, NY 14103
Physical Therapy Assistant
200 OHIO ST
MEDINA, NY 14103
Anesthesiology
200 OHIO ST
MEDINA, NY 14103

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 Dale Sponaugle's NPI number?

The NPI number for Dale Sponaugle is 1023018462. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Dale Sponaugle located?

Dale Sponaugle practices at 200 Ohio St, Medina, NY 14103. The listed phone number is (585) 798-8054.

What is Dale Sponaugle's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Dale Sponaugle enrolled in Medicare?

Yes. Dale Sponaugle 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.

When was this NPI record last updated?

The NPPES record for Dale Sponaugle was last updated on August 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.