DR. ROBERT MICHAEL SPRAGUE DO
NPI 1255788022
Emergency Medicine in Carbondale, IL

Q: What is Robert Sprague's NPI number?

The NPI number for Robert Sprague is 1255788022. It was assigned to this individual provider in the NPPES registry on May 20, 2016. The provider is also known as Rob Michael Sprague Do.

Q: What is Robert Sprague's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Sprague was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment

75.73/100

CMS Quality Rating

405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 457-0469 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2021, Jun 22, 2021, Apr 16, 2020 and 1 more (4 updates tracked since 2016).

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About Dr. Robert Michael Sprague Do NPPES

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

DR. ROBERT MICHAEL SPRAGUE DO (NPI 1255788022) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Illinois (036156247) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255788022

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ROBERT MICHAEL SPRAGUECredential: DO

Location Address405 W JACKSON STCarbondale, IL 62901-1462

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (186) 457-5200

Phone(618) 549-0721

Fax(618) 457-0469

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 20, 2016

Last NPPES UpdateJuly 20, 20214 updates tracked since enumeration

NPPES CertifiedJuly 20, 2021

✔ NPI 1255788022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036156247✔ Licensed in AZ · 008178

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

405 W JACKSON ST, Carbondale, IL 62901

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Other Names 1

Professional Name (2)Rob Michael Sprague Do

Secondary Practice Locations 4

Location 1101 Civic Center LnLake Havasu City, AZ 86403-5607 · Phone (928) 855-8185

Location 22 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524

Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 351-4917

Location 43269 N Stockton Hill RdKingman, AZ 86409 · Phone (831) 869-8889

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. Robert Michael Sprague Do 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 ID7315377256

PECOS Enrollment IDI20210630001779

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

282 services260 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

103 services102 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

68 services62 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

16 services16 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140137

Location200 Health Care DrGreenville, IL 62246 · Bond County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140145

Location9515 Holy Cross LnBreese, IL 62230 · Clinton County

Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141336

Location12866 Troxler AvenueHighland, IL 62249 · Madison County

Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141350

Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

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.

75.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.09

Promoting Interoperability

100

Improvement Activities

Cost

45.26

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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.

MR. LUKAS WARD PA

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

RUPAL PARMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

SCOTT A. COOPER M.D.

Emergency Medicine

405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901

Jackson County (618) 549-0721

LONG HA HUYNH M.D., PH.D.

Anesthesiology

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. BRITNEY NICOLE ARNOLD PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MR. DAN EDWARD MILLER CRNA

Nurse Anesthetist, Certified Registered

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

AMANDA M RYDEN MD

Emergency Medicine

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. NICOLE A JOHNSON PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

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 Robert Sprague's NPI number?

The NPI number for Robert Sprague is 1255788022. It was assigned to this individual provider in the NPPES registry on May 20, 2016. The provider is also known as Rob Michael Sprague Do.

Where is Robert Sprague located?

Robert Sprague practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Robert Sprague's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Sprague enrolled in Medicare?

Yes. Robert 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.

Is Robert Sprague affiliated with any hospitals?

According to CMS data, Robert Sprague is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital, St Joseph's Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Robert Sprague was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.