DR. GARRETT SPRAGUE M.D.
NPI 1093248429
Pediatrics - Pediatric Gastroenterology in Cincinnati, OH
About Dr. Garrett Sprague M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARRETT SPRAGUE M.D. (NPI 1093248429) is an individual pediatric gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35.138582) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
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
Dr. Garrett 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.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $24.11 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45229 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093248429, enumerated as an "individual" on April 03, 2017.
The provider is located at 3333 BURNET AVE ML2010 CINCINNATI, OH 45229 and the phone number is (513) 636-4200.
Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.
The provider might be accepting Accepts: CareSource and MedMutual. Please consult your insurance carrier or call the provider to verify.
