DR. THOMAS SPRAGUE DO
NPI 1346353398
Psychiatry & Neurology - Psychiatry in Austin, TX

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1631 E 2ND ST STE A, AUSTIN, TX 78702(512) 472-4357(512) 703-1394 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Sprague Do NPPES

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

DR. THOMAS SPRAGUE DO (NPI 1346353398) is an individual psychiatry provider in Austin, Texas, licensed in Texas (N9412) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Rowan University School Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1346353398
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOMAS SPRAGUECredential: DO
Location Address1631 E 2ND ST STE AAustin, TX 78702-4491
Mailing Address1430 Collier StAustin, TX 78704-2911 · (512) 472-4357 · Fax (512) 703-1394
Fax(512) 703-1394
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1988
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1346353398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TX · N9412✔ Licensed in NJ · MB53711✔ Licensed in ID · O-1982
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.
1631 E 2ND ST STE A, Austin, TX 78702

Secondary Practice Location 1

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-5084

Accepted 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 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 ID3971522434
PECOS Enrollment IDI20110913000425, I20251227000252, I20251229002998, I20251229003411, I20260102000517, I20260104000212, I20260120003809, I20260131000208
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 Reassignments

6

Medicare enrollment records show Thomas Sprague reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
19965 FM 3175
Lytle, TX 78052
  • Reassigned Medicare billing, Texas enrollment
  • 152 clinicians in this Medicare group
Neurology
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Access Telecare California PC
  • 194 clinicians in this Medicare group
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Alabama, Connecticut, Iowa, Idaho, Illinois, Louisiana, Massachusetts, Michigan, Missouri, North Carolina, Nebraska, New Jersey, South Carolina, Texas, Virginia and Wisconsin enrollments
  • 149 clinicians in this Medicare group
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Massachusetts enrollment
  • 23 clinicians in this Medicare group
Psychiatry
1901 MEDI PARK DR STE 2058
Amarillo, TX 79106
  • Reassigned Medicare billing, Texas enrollment
  • 81 clinicians in this Medicare group
Family Medicine
518 OAK
Kamiah, ID 83536
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Marys Hospital Inc
  • 95 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 3

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.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
59 services58 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
32 services32 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78702 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
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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 20

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

Counselor (Professional)
1631 E 2ND ST STE A
AUSTIN, TX 78702
Licensed Vocational Nurse
1631 E 2ND ST STE A
AUSTIN, TX 78702
Counselor (Professional)
1631 E 2ND ST STE A
AUSTIN, TX 78702
Counselor (Addiction (Substance Use Disorder))
1631 E 2ND ST STE A
AUSTIN, TX 78702
Licensed Practical Nurse
1631 E 2ND ST STE A
AUSTIN, TX 78702
Family Medicine (Addiction Medicine)
1631 E 2ND ST STE A
AUSTIN, TX 78702
Counselor (Addiction (Substance Use Disorder))
1631 E 2ND ST STE A
AUSTIN, TX 78702
Counselor (Addiction (Substance Use Disorder))
1631 E 2ND ST STE A
AUSTIN, TX 78702

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 Sprague's NPI number?

The NPI number for Thomas Sprague is 1346353398. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Thomas Sprague located?

Thomas Sprague practices at 1631 E 2nd St Ste A, Austin, TX 78702. The listed phone number is (512) 472-4357.

What is Thomas Sprague's specialty?

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

Is Thomas Sprague enrolled in Medicare?

Yes. Thomas 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 Thomas Sprague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sprague reassigns Medicare benefits to 6 organizations: Camino Real Community Mhmr Center (Lytle, TX), Access Telecare California, P.C. (Dallas, TX), Access Telecare, PLLC (Dallas, TX), Forefront-Rosenzweig Medical Services Professional Corporation (Dallas, TX), Forefront-Rush Medical Service PA (Amarillo, TX) and 1 more organization, 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 Thomas Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Sprague accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Providence Health Plan and WellPoint list Thomas Sprague 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 Sprague was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.