DR. CHARLES J SPRAGUE M.D.
NPI 1649334913
Pediatrics in Omaha, NE

Q: What is Charles Sprague's NPI number?

The NPI number for Charles Sprague is 1649334913. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Charles Sprague's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Sprague was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 21, 2006PECOS Enrolled

16929 FRANCES ST, STE 101, OMAHA, NE 68130(402) 758-5124(402) 758-5283 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles J Sprague M.d. NPPES

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

DR. CHARLES J SPRAGUE M.D. (NPI 1649334913) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (22145) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649334913

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CHARLES J SPRAGUECredential: M.D.

Location Address16929 FRANCES ST, STE 101Omaha, NE 68130-4683

Mailing Address555 N 30th StOmaha, NE 68131-2136 · (402) 280-8100 · Fax (402) 280-8103

Phone(402) 758-5124

Fax(402) 758-5283

Sole ProprietorNo

Enumeration DateDecember 21, 2006

Last NPPES UpdateFebruary 13, 2013

✔ NPI 1649334913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NE · 22145

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

16929 FRANCES ST, Omaha, NE 68130

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Other Identifiers 1

Medicare UPING41134NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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 (PECOS)

Dr. Charles J Sprague M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68130 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 3

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

MINDY R CARR APRN

Nurse Practitioner

16929 FRANCES ST, STE 103
OMAHA, NE 68130

Douglas County (402) 758-5821

DR. MARA P PARADIS M.D.

Pediatrics

16929 FRANCES ST, STE 101
OMAHA, NE 68130

Douglas County (402) 758-5125

LUANNE M LUNDERGARD N.P.

Nurse Practitioner (Adult Health)

16929 FRANCES ST, STE 103
OMAHA, NE 68130

Douglas County (402) 758-5821

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 Charles Sprague's NPI number?

The NPI number for Charles Sprague is 1649334913. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Charles Sprague located?

Charles Sprague practices at 16929 Frances St Ste 101, Omaha, NE 68130. The listed phone number is (402) 758-5124.

What is Charles Sprague's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Charles Sprague enrolled in Medicare?

Yes. Charles Sprague is registered in the Medicare PECOS enrollment system.

What insurance does Charles Sprague accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Sprague was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.