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DR. THOMAS HARRISON SPROUSE OD
NPI 1326617366
Optometrist in Salem, OR

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment
338 HAWTHORNE AVE NE, SALEM, OR 97301(503) 585-6700 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2023, Jan 20, 2023, Jun 23, 2021 (3 updates tracked since 2021).

About Dr. Thomas Harrison Sprouse Od NPPES

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

DR. THOMAS HARRISON SPROUSE OD (NPI 1326617366) is an individual optometrist in Salem, Oregon, licensed in Washington (61168507) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2021).

NPPES Registry Identity

NPI1326617366
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THOMAS HARRISON SPROUSECredential: OD
Location Address338 HAWTHORNE AVE NESalem, OR 97301-4607
Mailing Address338 Hawthorne Ave NeSalem, OR 97301-4607
Phone(503) 585-6700
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2021
Enumeration DateJune 23, 2021
Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1326617366 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 WA · 61168507
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.
338 HAWTHORNE AVE NE, Salem, OR 97301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc. 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 and accepts Medicare assignment

Dr. Thomas Harrison Sprouse Od 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 ID9931504495
PECOS Enrollment IDI20220412001655
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 Reassignment

Medicare enrollment records show Thomas Sprouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Focus Eye Care LLC
0.4 mi
Eyewear Supplier
3400 STATE ST STE G770
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1184999377 (503) 585-6700

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services27 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
27 services27 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
22 services21 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
20 services17 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
18 services16 patients
Measurement of corneal pressure 92145
Measurement of corneal pressure, also known as tonometry, is a simple, painless procedure that checks the pressure inside your eye. It's important for detecting conditions like glaucoma. A device gently touches your eye to take the reading, which is usually quick and doesn't cause discomfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Thomas Sprouse's NPI number?

The NPI number for Thomas Sprouse is 1326617366. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Thomas Sprouse located?

Thomas Sprouse practices at 338 Hawthorne Ave NE, Salem, OR 97301. The listed phone number is (503) 585-6700.

What is Thomas Sprouse's specialty?

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

Is Thomas Sprouse enrolled in Medicare?

Yes. Thomas Sprouse 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 organization bills Medicare for Thomas Sprouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sprouse reassigns Medicare benefits to Family Focus Eye Care LLC (Salem, OR). The 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 Thomas Sprouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Sprouse accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Thomas Sprouse 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 Thomas Sprouse was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.