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DR. JULIAN RUFFIN SPRAGUE MD
NPI 1427260652
Internal Medicine - Hematology in Burlington, VT

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
89 BEAUMONT AVE., GIVEN BUILDING E214, BURLINGTON, VT 05405(802) 847-8400 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Julian Ruffin Sprague Md NPPES

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

DR. JULIAN RUFFIN SPRAGUE MD (NPI 1427260652) is an individual hematology provider in Burlington, Vermont, licensed in Vermont (0420011418) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of University Of Virginia School Of Medicine (2001).

NPPES Registry Identity

NPI1427260652
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. JULIAN RUFFIN SPRAGUECredential: MD
Location Address89 BEAUMONT AVE., GIVEN BUILDING E214Burlington, VT 05405
Mailing Address19 Iris LaneSouth Burlington, VT 05403
Phone(802) 847-8400
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2001
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 17, 2019
✔ NPI 1427260652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in VT · 0420011418
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
89 BEAUMONT AVE., Burlington, VT 05405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Julian Ruffin Sprague 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 ID1850488933
PECOS Enrollment IDI20071106000732
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 8

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.
366 services206 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
186 services100 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.
32 services31 patients
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.
29 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05405 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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 Julian Sprague's NPI number?

The NPI number for Julian Sprague is 1427260652. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Julian Sprague located?

Julian Sprague practices at 89 Beaumont Ave. Given Building E214, Burlington, VT 05405. The listed phone number is (802) 847-8400.

What is Julian Sprague's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Julian Sprague enrolled in Medicare?

Yes. Julian Sprague 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 Julian Sprague accept?

Health plans from Anthem Blue Cross and Blue Shield list Julian Sprague 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 Julian Sprague affiliated with any hospitals?

According to CMS data, Julian Sprague is affiliated with Champlain Valley Physicians Hospital Medical Ctr, The University Of Vermont Health Network-Alice Hy, Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Julian Sprague was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.