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JENNIFER TERESA SPRAGUE
NPI 1033628268
Physician Assistant in Montgomery, OH

Active since September 20, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10506 MONTGOMERY RD STE 200A, MONTGOMERY, OH 45242(513) 865-9916(513) 246-2343 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2021, Sep 20, 2017 (2 updates tracked since 2017).

About Jennifer Teresa Sprague NPPES

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

JENNIFER TERESA SPRAGUE (NPI 1033628268) is an individual physician assistant in Montgomery, Ohio, licensed in Ohio (50.005482RX) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1033628268
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER TERESA SPRAGUE
Location Address10506 MONTGOMERY RD STE 200AMontgomery, OH 45242-4400
Mailing Address2300 Chamber Center DrLakeside Park, KY 41017-1686 · (859) 301-4723 · Fax (859) 301-4724
Phone(513) 865-9916
Fax(513) 246-2343
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1033628268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50.005482RX✔ Licensed in KY · TC639
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10506 MONTGOMERY RD STE 200A, Montgomery, OH 45242
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Secondary Practice Location 1

Location 120 Medical Village DrEdgewood, KY 41017-5401 · Phone (859) 301-4723 · Fax (859) 301-4724

Other Identifiers 1

Medicaid2565399OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Jennifer Teresa Sprague 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 ID1254607344
PECOS Enrollment IDI20180405002043
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
172 services63 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
64 services22 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.
25 services20 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
19 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

JULIE E RICHARDSON PA-C
Physician Assistant
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Hamilton County (513) 865-2222
CLAIR MURRAY APRN
Nurse Practitioner (Acute Care)
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Hamilton County (513) 865-9898
PAMELA MARIE JOHNSON RN
Registered Nurse (Ambulatory Care)
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Hamilton County (513) 246-2343
JAMES R. SUTTON P.A.-C
Physician Assistant
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 45242
Hamilton County (513) 246-2343

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 Jennifer Sprague's NPI number?

The NPI number for Jennifer Sprague is 1033628268. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Jennifer Sprague located?

Jennifer Sprague practices at 10506 Montgomery Rd Ste 200A, Montgomery, OH 45242. The listed phone number is (513) 865-9916.

What is Jennifer Sprague's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Sprague enrolled in Medicare?

Yes. Jennifer 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 Jennifer Sprague accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Jennifer 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 Jennifer Sprague affiliated with any hospitals?

According to CMS data, Jennifer Sprague is affiliated with University Of Cincinnati Medical Center, LLC, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Jennifer Sprague was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.