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DR. KIMBERLY SPRAGUE M.D.
NPI 1366850463
Pediatrics in Escondido, CA

Active since August 01, 2014PECOS Enrolled
215 S HICKORY ST STE 126, ESCONDIDO, CA 92025(760) 745-7313(760) 745-6360 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kimberly Sprague M.d. NPPES

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

DR. KIMBERLY SPRAGUE M.D. (NPI 1366850463) is an individual pediatrics provider in Escondido, California, licensed in California (A115276) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366850463
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMBERLY SPRAGUECredential: M.D.
Location Address215 S HICKORY ST STE 126Escondido, CA 92025-4360
Mailing Address215 S Hickory St Ste 126Escondido, CA 92025-4360 · (760) 745-7313 · Fax (760) 745-6360
Phone(760) 745-7313
Fax(760) 745-6360
Sole ProprietorYes
Enumeration DateAugust 1, 2014
✔ NPI 1366850463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A115276
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
215 S HICKORY ST STE 126, Escondido, CA 92025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Sprague M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kimberly Sprague reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scripps Health
13 mi
General Acute Care Hospital
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1700829199 (760) 457-4123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92025 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 8

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

JOSHUA C BLALOCK
Behavior Technician
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
KAITLYN NICOLE MCKEE
Behavior Technician
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
KYRA NOELLE GARITTA
Behavior Technician
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
ALEXA CAMUA CROSS
Behavior Analyst
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
JENNA SKYE GUNN-VERDUZCO HIGH SCHOOL DIPLOMA
Behavior Technician
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
ESMERALDA SANCHEZ
Behavior Technician
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
AMBER NICOLE MCCRACKEN
Behavior Analyst
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008
ALICIA MARIA GARZA
Behavior Technician
215 S HICKORY ST STE 126
ESCONDIDO, CA 92025
San Diego County (442) 999-9008

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 Kimberly Sprague's NPI number?

The NPI number for Kimberly Sprague is 1366850463. It was assigned to this individual provider in the NPPES registry on August 1, 2014.

Where is Kimberly Sprague located?

Kimberly Sprague practices at 215 S Hickory St Ste 126, Escondido, CA 92025. The listed phone number is (760) 745-7313.

What is Kimberly Sprague's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Sprague enrolled in Medicare?

Yes. Kimberly Sprague is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Sprague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sprague reassigns Medicare benefits to Scripps Health (Encinitas, CA). 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 Kimberly Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Sprague was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.