DR. WILLIAM JOSEPH SPROULE M.D.
NPI 1578774394
Emergency Medicine in Hamilton, NJ

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
1 HAMILTON HEALTH PL, HAMILTON, NJ 08690(609) 584-6666 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. William Joseph Sproule M.d. NPPES

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

DR. WILLIAM JOSEPH SPROULE M.D. (NPI 1578774394) is an individual emergency medicine provider in Hamilton, New Jersey, licensed in New Jersey (25MA0869950) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578774394
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. WILLIAM JOSEPH SPROULECredential: M.D.
Location Address1 HAMILTON HEALTH PLHamilton, NJ 08690-3542
Mailing Address1 Hamilton Health PlHamilton, NJ 08690-3542 · (609) 584-6666
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2007
Enumeration DateMay 24, 2007
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1578774394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA0869950✔ Licensed in PA · MD439172
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.
1 HAMILTON HEALTH PL, Hamilton, NJ 08690

Secondary Practice Locations 2

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 21 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

Accepted 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

Dr. William Joseph Sproule M.d. 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 ID345364857
PECOS Enrollment IDI20100903000508
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

7

Medicare enrollment records show William Sproule reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
Emergency Medicine
1201 LANGHORNE-NEWTON ROAD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 clinicians in this Medicare group
Emergency Medicine
175 MADISON AVE
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 248 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
101 CARNIE BLVD
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 332 clinicians in this Medicare group
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group

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 5

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.

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.
252 services249 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
77 services76 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.
76 services75 patients
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.
54 services54 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08690 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Obstetrics & Gynecology
1 HAMILTON HEALTH PL
TRENTON, NJ 08690
Nurse Practitioner
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Nurse Practitioner (Family)
1 HAMILTON HEALTH PL
TRENTON, NJ 08690
Internal Medicine
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Specialist/Technologist (Athletic Trainer)
1 HAMILTON HEALTH PL
HAMILTON TOWNSHIP, NJ 08690
Obstetrics & Gynecology
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Nurse Practitioner (Adult Health)
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Nurse Practitioner (Acute Care)
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

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 William Sproule's NPI number?

The NPI number for William Sproule is 1578774394. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is William Sproule located?

William Sproule practices at 1 Hamilton Health Pl, Hamilton, NJ 08690. The listed phone number is (609) 584-6666.

What is William Sproule's specialty?

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

Is William Sproule enrolled in Medicare?

Yes. William Sproule 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 William Sproule's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Sproule reassigns Medicare benefits to 7 organizations: Capital Health Multispecialty Group (Trenton, NJ), Emergency Care Services Of Pennsylvania, P.C. (Langhorne, PA), Emergency Physician Services Of New Jersey,professional Association (Mount Holly, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Emergency Physician Associates Of South Jersey P C (Voorhees, NJ) and 2 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 William Sproule's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Sproule accept?

Health plans from Oscar Health list William Sproule 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 William Sproule affiliated with any hospitals?

According to CMS data, William Sproule is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Sproule was last updated on February 21, 2024. 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.