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DR. STEPHEN K SPONAGLE MD
NPI 1255382925
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
1155 NORTH MAYFAIR ROAD, BEHAVIORAL HEALTH CLINIC @ TOSA, MILWAUKEE, WI 53226(414) 805-3666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen K Sponagle Md NPPES

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

DR. STEPHEN K SPONAGLE MD (NPI 1255382925) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (47580) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1255382925
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. STEPHEN K SPONAGLECredential: MD
Location Address1155 NORTH MAYFAIR ROAD, BEHAVIORAL HEALTH CLINIC @ TOSAMilwaukee, WI 53226
Mailing Address1155 N Mayfair Rd, Behavioral Health Clinic @ TosaMilwaukee, WI 53226-3421
Phone(414) 805-3666
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1999
Enumeration DateMay 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255382925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 47580
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1155 NORTH MAYFAIR ROAD, Milwaukee, WI 53226
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Other Identifiers 2

Medicaid34601100WI
Medicare UPINI23625

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Network Health, Quartz.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. Stephen K Sponagle 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 ID1658320957
PECOS Enrollment IDI20050113000480
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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
37 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 2

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

MS. JO M WEIS PHD
Psychologist (Addiction (Substance Use Disorder))
1155 NORTH MAYFAIR ROAD, BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900
DR. JOHN LAMBERTON MD
Psychiatry & Neurology (Psychiatry)
1155 NORTH MAYFAIR ROAD, BEHAVIORAL HEALTH CLINIC @ TOSA
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666

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 Stephen Sponagle's NPI number?

The NPI number for Stephen Sponagle is 1255382925. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Stephen Sponagle located?

Stephen Sponagle practices at 1155 North Mayfair Road Behavioral Health Clinic @ Tosa, Milwaukee, WI 53226. The listed phone number is (414) 805-3666.

What is Stephen Sponagle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stephen Sponagle enrolled in Medicare?

Yes. Stephen Sponagle 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 Stephen Sponagle accept?

Health plans from Medica, Network Health and Quartz list Stephen Sponagle 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 Stephen Sponagle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.