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JUSTIN MILES SPRATT D.O.
NPI 1396974044
Emergency Medicine in Morgantown, WV

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
1200 J D ANDERSON DR, MORGANTOWN, WV 26505(304) 598-1200(304) 598-1699 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2022, Jun 9, 2021, Jan 8, 2021 and 1 more (4 updates tracked since 2020).

About Justin Miles Spratt D.o. NPPES

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

JUSTIN MILES SPRATT D.O. (NPI 1396974044) is an individual emergency medicine provider in Morgantown, West Virginia, licensed in West Virginia (2847) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396974044
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN MILES SPRATTCredential: D.O.
Location Address1200 J D ANDERSON DRMorgantown, WV 26505-3494
Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494 · (304) 598-1200
Phone(304) 598-1200
Fax(304) 598-1699
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2009
Enumeration DateJuly 2, 2009
Last NPPES UpdateOctober 13, 20254 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1396974044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WV · 2847✔ Licensed in PA · OT012880
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OT012880 (PA)
1200 J D ANDERSON DR, Morgantown, WV 26505
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-1400
Location 2230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-0030
Location 3812 Gorman AveElkins, WV 26241-3181 · Phone (304) 636-3300
Location 4140 Middletown LoopFairmont, WV 26554-8701 · Phone (304) 333-1150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Justin Miles Spratt D.o. 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 ID4183853047
PECOS Enrollment IDI20140925001719
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

8

Medicare enrollment records show Justin Spratt reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monongalia County General Hospital Company
Same address
Emergency Medicine
1200 J D ANDERSON DR
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group
NPI 1477890440 (304) 598-1200
West Virginia Emergency Physicians, LLP
Same address
Emergency Medicine
1200 J D ANDERSON DR
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 58 clinicians in this Medicare group
NPI 1952776379 (304) 598-1200
Preston Memorial Hospital Corporation
20 mi
Critical Access
150 MEMORIAL DR
Kingwood, WV 26537
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1841230661 (West Virginia)
  • 112 clinicians in this Medicare group
NPI 1013950054 (304) 329-1400
Mon Health Marion Neighborhood Hospital, Inc.
20 mi
Hospitalist
140 MIDDLETOWN LOOP
White Hall, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 70 clinicians in this Medicare group
NPI 1417521337 (304) 333-1150
Grafton City Hospital Inc
22 mi
Critical Access
1 HOSPITAL PLZ
Grafton, WV 26354
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1336200344 (West Virginia)
  • 26 clinicians in this Medicare group
NPI 1265484893 (304) 265-0400
Stonewall Jackson Memorial Hospital Company
51 mi
Rural
230 HOSPITAL PLZ
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1477559433 (304) 269-8000
Davis Memorial Hospital
51 mi
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 clinicians in this Medicare group
NPI 1619964806 (304) 636-3300
Greenbrier Emergency Services, Inc.
  • Reassigned Medicare billing, West Virginia enrollment
  • 207 clinicians in this Medicare group
No phone listed

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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
98 services97 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services94 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
60 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services54 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services43 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Stonewall Jackson Memorial Hospital

Acute Care Hospitals · Weston, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510038
Location230 Hospital PlazaWeston, WV 26452 · Lewis County
Emergency services Birthing friendly

Mon Health Marion

Acute Care Hospitals · Whitehall, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number510093
Location140 Middletown LoopWhitehall, WV 26554 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

FILIP IONESCU MD
Internal Medicine (Hematology & Oncology)
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 598-6560
BRITTANY RACHELLE POLETTI RN, CRNA
Nurse Anesthetist, Certified Registered
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 598-1200
LAUREN PATSY
Nurse Anesthetist, Certified Registered
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 598-1200
CHELSEA COLLINS NP
Nurse Practitioner (Family)
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 285-3870
GARRETT W. STOVER M.D.
Radiology (Diagnostic Radiology)
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 366-2600
ALI N AL-HABIB M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 598-1200
TAMMI CLUTTER PPCNP
Nurse Practitioner
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (888) 988-2273
DR. CHRISTOPHER EDWARDS D.O.
Emergency Medicine
1200 J D ANDERSON DR
MORGANTOWN, WV 26505
Monongalia County (304) 598-1200

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 Justin Spratt's NPI number?

The NPI number for Justin Spratt is 1396974044. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Justin Spratt located?

Justin Spratt practices at 1200 J D Anderson Dr, Morgantown, WV 26505. The listed phone number is (304) 598-1200.

What is Justin Spratt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Spratt enrolled in Medicare?

Yes. Justin Spratt 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 Justin Spratt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Spratt reassigns Medicare benefits to 8 organizations: Monongalia County General Hospital Company (Morgantown, WV), West Virginia Emergency Physicians, LLP (Morgantown, WV), Preston Memorial Hospital Corporation (Kingwood, WV), Mon Health Marion Neighborhood Hospital, Inc. (White Hall, WV), Grafton City Hospital Inc (Grafton, WV) and 3 more organizations, 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 Justin Spratt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Spratt accept?

Health plans from CareSource list Justin Spratt 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 Justin Spratt affiliated with any hospitals?

According to CMS data, Justin Spratt is affiliated with Mon Health Medical Center, Stonewall Jackson Memorial Hospital and Mon Health Marion.

When was this NPI record last updated?

The NPPES record for Justin Spratt was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.