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LAURA ANNE SPROAT MD
NPI 1558570374
Obstetrics & Gynecology in Erie, PA

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
100 PEACH ST STE 300, ERIE, PA 16507(814) 459-1851(814) 456-0541 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2025, Nov 9, 2023 (2 updates tracked since 2023).

About Laura Anne Sproat Md NPPES

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

LAURA ANNE SPROAT MD (NPI 1558570374) is an individual obstetrics & gynecology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD438568) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2005).

NPPES Registry Identity

NPI1558570374
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLAURA ANNE SPROATCredential: MD
Location Address100 PEACH ST STE 300Erie, PA 16507-1423
Mailing Address100 Peach St Ste 300Erie, PA 16507-1423 · (814) 459-1851
Phone(814) 459-1851
Fax(814) 456-0541
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2005
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1558570374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in PA · MD438568✔ Licensed in MI · 4301104028
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 PEACH ST STE 300, Erie, PA 16507
Open in Google Maps ↗

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

Laura Anne Sproat 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 ID9133269939
PECOS Enrollment IDI20091229000188
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

3

Medicare enrollment records show Laura Sproat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ob-Gyn Associates Of Erie, PC
Same address
Obstetrics & Gynecology
100 PEACH ST STE 300
Erie, PA 16507
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 61 clinicians in this Medicare group
NPI 1497702294 (814) 459-1851
University Of Pittsburgh Physicians
53 mi
Urgent Care
464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1619381456 (814) 432-9801
Prospect Health Access Network, Inc.
285 mi
Physical Medicine & Rehabilitation
485 BALTIMORE PIKE, SUITE 202
Glen Mills, PA 19342
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1083061006 (610) 588-9222

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 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.
14 services11 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 16

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

CORTNI VICHECK PA-C
Physician Assistant
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
MINDY M CLARK CNM
Advanced Practice Midwife
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
PERINATAL ASSOCIATES OF ERIE, PLLC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
CHRISTINA EVE GORSKI CRNP
Nurse Practitioner (Family)
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
DAVID JONATHAN KADOURI MD
Obstetrics & Gynecology
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
KATARZYNA JURECKI MD
Obstetrics & Gynecology
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
RANDIE ELISE LUGENBEAL PA-C
Physician Assistant
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (814) 459-1851
MIKAELA DANIELLE PANKO
Obstetrics & Gynecology
100 PEACH ST STE 300
ERIE, PA 16507
Erie County (330) 375-6119

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 Laura Sproat's NPI number?

The NPI number for Laura Sproat is 1558570374. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Laura Sproat located?

Laura Sproat practices at 100 Peach St Ste 300, Erie, PA 16507. The listed phone number is (814) 459-1851.

What is Laura Sproat's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Laura Sproat enrolled in Medicare?

Yes. Laura Sproat 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 Laura Sproat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Sproat reassigns Medicare benefits to 3 organizations: Ob-Gyn Associates Of Erie, PC (Erie, PA), University Of Pittsburgh Physicians (Franklin, PA) and Prospect Health Access Network, Inc. (Glen Mills, PA). 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 Laura Sproat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Sproat accept?

Health plans from CareSource list Laura Sproat 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 Laura Sproat affiliated with any hospitals?

According to CMS data, Laura Sproat is affiliated with Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Laura Sproat was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.