DR. KATHERIN A SPROUL MD
NPI 1376567651
Anesthesiology - Critical Care Medicine in Lexington, KY
About Dr. Katherin A Sproul Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHERIN A SPROUL MD (NPI 1376567651) is an individual critical care medicine provider in Lexington, Kentucky, licensed in Kentucky (TP300) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Morgantown.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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. Katherin A Sproul Md 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 Reassignment
Medicare enrollment records show Katherin Sproul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 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
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kentucky Hospital
Acute Care Hospitals · Lexington, KYMedicare 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.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Katherin Sproul's NPI number?
The NPI number for Katherin Sproul is 1376567651. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Katherin Sproul located?
Katherin Sproul practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 257-1000.
What is Katherin Sproul's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.
Is Katherin Sproul enrolled in Medicare?
Yes. Katherin Sproul 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 Katherin Sproul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherin Sproul reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Katherin Sproul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherin Sproul accept?
Health plans from CareSource list Katherin Sproul 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.
Is Katherin Sproul affiliated with any hospitals?
According to CMS data, Katherin Sproul is affiliated with University Of Kentucky Hospital.
When was this NPI record last updated?
The NPPES record for Katherin Sproul was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Katherin A Sproul, MD · NPI 1376567651
Critical Care Medicine physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1376567651 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Anesthesiology - Critical Care Medicine · taxonomy 207LC0200X
- **State license:** TP300 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, Lexington, KY 40536-7911
- **Phone:** (859) 257-1000
## 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:** Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Geisel School Of Medicine At Dartmouth, class of 2005
## Record status
- **NPPES last updated:** June 19, 2019
- **Other identifiers:** Medicaid 1021859 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1376567651) · Data from the CMS NPPES public registry.