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ANDREW B SPRUNGER MD
NPI 1376757377
Family Medicine in Indianapolis, IN

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
8202 CLEARVISTA PKWY, SUITE 6B, INDIANAPOLIS, IN 46256(317) 621-1670(317) 621-1680 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2020, Apr 17, 2017, Feb 6, 2017 (3 updates tracked since 2017).

About Andrew B Sprunger Md NPPES

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

ANDREW B SPRUNGER MD (NPI 1376757377) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01063256A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1376757377
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW B SPRUNGERCredential: MD
Location Address8202 CLEARVISTA PKWY, SUITE 6BIndianapolis, IN 46256-1442
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Phone(317) 621-1670
Fax(317) 621-1680
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateMay 9, 2007
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1376757377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01063256A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8202 CLEARVISTA PKWY, Indianapolis, IN 46256
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Other Identifiers 1

Medicaid200884250IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Andrew B Sprunger 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 ID8729179080
PECOS Enrollment IDI20070801000491
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 11

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
211 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
112 services112 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services27 patients
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.
27 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims30 services$5.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$10.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$24.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers44 claims44 services$190.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOHN M. PORTER DDS
Dentist (Oral and Maxillofacial Surgery)
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B
INDIANAPOLIS, IN 46256
Marion County (317) 842-6333
CONNECT HEARING, INC.
Hearing Aid Equipment
8202 CLEARVISTA PKWY, STE 9C
INDIANAPOLIS, IN 46256
Marion County (317) 621-5713
MCCALL DENTURES OF IN, P.C.
Dentist
8202 CLEARVISTA PKWY, SUITE 4B
INDIANAPOLIS, IN 46256
Marion County (317) 596-9700
ALLERGY ASSOCIATES OF CENTRAL IN
Allergy & Immunology
8202 CLEARVISTA PKWY, 4A
INDIANAPOLIS, IN 46256
Marion County (317) 621-5460
DR. GERALD LEVIN DDS
Dentist (General Practice)
8202 CLEARVISTA PKWY, STE 10A
INDIANAPOLIS, IN 46256
Marion County (317) 596-9700
JOI RENEE CRENSHAW CPM, CDEM
Midwife
8202 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256
Marion County (317) 436-8306
DR. GARY NUNNALLY LCSW, DMIN
Social Worker (Clinical)
8202 CLEARVISTA PKWY, BLDG 7
INDIANAPOLIS, IN 46256
Marion County (317) 288-9942
PHILIP BRUCE LOCKHART JR. DDS
Dentist (General Practice)
8202 CLEARVISTA PKWY, BLDG 4 SUITE C
INDIANAPOLIS, IN 46256
Marion County (317) 849-9715

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 Andrew Sprunger's NPI number?

The NPI number for Andrew Sprunger is 1376757377. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Andrew Sprunger located?

Andrew Sprunger practices at 8202 Clearvista Pkwy Suite 6B, Indianapolis, IN 46256. The listed phone number is (317) 621-1670.

What is Andrew Sprunger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Sprunger enrolled in Medicare?

Yes. Andrew Sprunger 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 Andrew Sprunger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Andrew Sprunger 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 Andrew Sprunger affiliated with any hospitals?

According to CMS data, Andrew Sprunger is affiliated with Community Hospital East, Community Hospital Of Anderson And Madison County and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Andrew Sprunger was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.