DR. ROBERT MICHAEL SPRAGUE DO
NPI 1255788022
Emergency Medicine in Carbondale, IL
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Robert Sprague reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Harrisburg, IL 62946
- Reassigned Medicare billing, Illinois enrollment
- 169 clinicians in this Medicare group
Albion, IL 62806
- Reassigned Medicare billing, Illinois enrollment
- 99 clinicians in this Medicare group
Breese, IL 62230
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Litchfield, IL 62056
- Reassigned Medicare billing, Illinois enrollment
- 60 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 289 clinicians in this Medicare group
Lake Havasu City, AZ 86403
- Reassigned Medicare billing, Arizona enrollment
- 58 clinicians in this Medicare group
- Reassigned Medicare billing, Illinois enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
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, ILSt Francis Hospital
Critical Access Hospitals · Litchfield, ILPhysician 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.
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.
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.
CARBONDALE, IL 62901
CARBONDALE, IL 62901
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.
Which organizations bill Medicare for Robert Sprague's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Sprague reassigns Medicare benefits to 8 organizations: Southern Illinois Medical Services, Nfp (Carbondale, IL), Statera Health Care, LLC (Harrisburg, IL), Wabash General Hospital District (Albion, IL), Cepamerica Illinois LLP (Breese, IL), St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (Litchfield, IL) and 3 more organizations, listed in the Medicare section above. 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 Robert Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Robert Sprague affiliated with any hospitals?
According to CMS data, Robert Sprague is affiliated with Hshs Holy Family Hospital Inc 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.
# Dr. Robert Michael Sprague, DO · NPI 1255788022
Emergency Medicine physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since May 20, 2016.
## Identity
- **NPI:** 1255788022 (Entity type: Individual)
- **Enumerated:** May 20, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036156247 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W JACKSON ST, Carbondale, IL 62901-1462
- **Phone:** (618) 549-0721 · **Fax:** (618) 457-0469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL); Statera Health Care, LLC (NPI 1043874449, Harrisburg, IL); Wabash General Hospital District (NPI 1689148892, Albion, IL); Cepamerica Illinois LLP (NPI 1437658622, Breese, IL); St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (NPI 1326057076, Litchfield, IL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 20, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1255788022) · Data from the CMS NPPES public registry.