DR. KRISTEN E SPRATT M.D.
NPI 1285054569
Hospitalist in Gloucester, VA

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
7519 HOSPITAL DR, GLOUCESTER, VA 23061(804) 693-8800(804) 693-8537 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2023, Jun 12, 2019, Mar 19, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Kristen E Spratt M.d. NPPES

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

DR. KRISTEN E SPRATT M.D. (NPI 1285054569) is an individual hospitalist provider in Gloucester, Virginia, licensed in Virginia (0101266018) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains a secondary practice location in Langley Afb.

NPPES Registry Identity

NPI1285054569
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. KRISTEN E SPRATTCredential: M.D.
Location Address7519 HOSPITAL DRGloucester, VA 23061-4178
Mailing Address7519 Hospital DrGloucester, VA 23061-4178 · (804) 693-8800 · Fax (804) 693-8537
Fax(804) 693-8537
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateJuly 7, 20235 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
NPI 1285054569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in VA · 0101266018
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 28832 (NE)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 28832 (NE)
7519 HOSPITAL DR, Gloucester, VA 23061

Other Names 1

Former Name (1)Dr. Kristen E Eron

Secondary Practice Location 1

Location 177 Nealy AveLangley AFB, VA 23665-2040 · Phone (757) 764-2123

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. Kristen E Spratt 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.

PECOS PAC ID9830493832
PECOS Enrollment IDI20190820000351
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
252 services126 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services123 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
75 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services42 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
24 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23061 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers43 claims44 services$17.59 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier28 claims28 services$918.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers51 claims52 services$97.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Emergency Medicine
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Emergency Medicine
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Nurse Practitioner
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Emergency Medicine
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Physician Assistant
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Emergency Medicine
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Nurse Practitioner (Family)
7519 HOSPITAL DR
GLOUCESTER, VA 23061
Hospitalist
7519 HOSPITAL DR
GLOUCESTER, VA 23061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285054569, enumerated as an "individual" on April 24, 2014.

The provider is located at 7519 HOSPITAL DR GLOUCESTER, VA 23061 and the phone number is (804) 693-8800.

Hospitalist with taxonomy code 208M00000X.

Kristen Spratt is affiliated with: RIVERSIDE REGIONAL MEDICAL CENTER and RIVERSIDE WALTER REED HOSPITAL.