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DR. KIMBERLYNN SPRAGUE OD
NPI 1255180212
Optometrist in Grand Rapids, MI

Active since May 14, 2024PECOS Enrolled
100 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 776-2135 Get Directions Write a Review

NPPES record last updated: August 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2024, May 14, 2024 (2 updates tracked since 2024).

About Dr. Kimberlynn Sprague Od NPPES

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

DR. KIMBERLYNN SPRAGUE OD (NPI 1255180212) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901005805) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255180212
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KIMBERLYNN SPRAGUECredential: OD
Location Address100 CHERRY ST SEGrand Rapids, MI 49503-4526
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526
Phone(616) 776-2135
Sole ProprietorNo
Enumeration DateMay 14, 2024
Last NPPES UpdateAugust 4, 20242 updates tracked since enumeration
NPPES CertifiedAugust 4, 2024
✔ NPI 1255180212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901005805
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
100 CHERRY ST SE, Grand Rapids, MI 49503
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberlynn Sprague Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberlynn Sprague reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherry Street Services, Inc.
0.6 mi
Federally Qualified Health Center (FQHC)
550 CHERRY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1558459164 (616) 235-7289
Svs Vision Inc
4.4 mi
Optometrist
3150 ALPINE AVE NW, STE. F
Walker, MI 49544
  • Reassigned Medicare billing, Michigan enrollment
  • 113 clinicians in this Medicare group
NPI 1487789350 (616) 363-9831

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

JANIS FEIGHNER
Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8200
COLTON J CNOSSEN
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8200
KIMBERLY RABY
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8200
JACOB MICHAEL GONZALES B.A.
Case Manager/Care Coordinator
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 695-8200
DR. COLE BROWER DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8200
CHERRY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8200
KARINA IBARRA GOMEZ
Community Health Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8302
MARY P CHELSKY O.D,
Optometrist
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8200

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 Kimberlynn Sprague's NPI number?

The NPI number for Kimberlynn Sprague is 1255180212. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Kimberlynn Sprague located?

Kimberlynn Sprague practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 776-2135.

What is Kimberlynn Sprague's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kimberlynn Sprague enrolled in Medicare?

Yes. Kimberlynn Sprague is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberlynn Sprague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlynn Sprague reassigns Medicare benefits to 2 organizations: Cherry Street Services, Inc. (Grand Rapids, MI) and Svs Vision Inc (Walker, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberlynn Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberlynn Sprague accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 14 other insurers list Kimberlynn 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.

When was this NPI record last updated?

The NPPES record for Kimberlynn Sprague was last updated on August 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.