DR. KATHERIN A SPROUL MD
NPI 1376567651
Anesthesiology - Critical Care Medicine in Lexington, KY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST, LEXINGTON, KY 40536(859) 257-1000 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2019, Jun 4, 2019 (2 updates tracked since 2019).

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

NPI1376567651
Entity TypeIndividualFemale
Primary Taxonomy207LC0200X
Provider Legal NameDR. KATHERIN A SPROULCredential: MD
Location Address800 ROSE STLexington, KY 40536-7911
Mailing Address416 Hanover Center RdEtna, NH 03750-4111 · (207) 337-0287
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2005
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
NPI 1376567651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License Licensed in KY · TP300
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 25625 (WV), 018231 (ME), 15774 (NH)
800 ROSE ST, Lexington, KY 40536

Secondary Practice Location 1

Location 1101 Stadium DrMorgantown, WV 26506-7911 · Phone (304) 598-4122

Other Identifiers 1

Medicaid1021859VT

Accepted Insurance

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. 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.

PECOS PAC ID7113065632
PECOS Enrollment IDI20190621002672
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services17 patients

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, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST, CC417
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.

What insurance does Katherin Sproul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and 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.