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

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: November 01, 2026.

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 Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Sprague reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Father Flanagan's Boys' Home
12 mi
Pediatrics
555 N 30TH ST
Omaha, NE 68131
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Father Flanagans Boys Home
  • 305 clinicians in this Medicare group
NPI 1295821825 (402) 498-6509

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4

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
MRS. KAITLAN G KEMLER
Registered Nurse (General Practice)
16929 FRANCES ST
OMAHA, NE 68130
Douglas County (531) 355-7600
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.

Which organization bills Medicare for Charles Sprague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Sprague reassigns Medicare benefits to Father Flanagan's Boys' Home (Omaha, NE). The 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 Charles Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Sprague accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer 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.