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LAURA JANE SPRANKLIN DO
NPI 1669792586
Internal Medicine - Hematology & Oncology in Knoxville, TN

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1915 WHITE AVE, KNOXVILLE, TN 37916(865) 541-1720 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Jane Spranklin Do NPPES

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

LAURA JANE SPRANKLIN DO (NPI 1669792586) is an individual hematology & oncology provider in Knoxville, Tennessee, licensed in Tennessee (3033) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).

NPPES Registry Identity

NPI1669792586
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameLAURA JANE SPRANKLINCredential: DO
Location Address1915 WHITE AVEKnoxville, TN 37916-2300
Mailing Address1915 White AveKnoxville, TN 37916-2300 · (865) 541-1720
Phone(865) 541-1720
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2010
Enumeration DateJune 2, 2010
Last NPPES UpdateAugust 1, 2016
✔ NPI 1669792586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in TN · 3033✔ Licensed in PA · OT014405
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1915 WHITE AVE, Knoxville, TN 37916
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Laura Jane Spranklin Do 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 ID2961644067
PECOS Enrollment IDI20160810001708
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 6

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.
203 services119 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.
170 services41 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.
95 services20 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.
87 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%1,278 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%305 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%1,009 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. LISA RUTH COOPER R.D., LDN
Dietitian, Registered
1915 WHITE AVE, THOMPSON CANCER SURVIVAL CENTER
KNOXVILLE, TN 37916
Knox County (865) 541-2036
JESSICA GOLLIHER NP-C
Nurse Practitioner (Family)
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720
JEFFREY LEE DOUGLAS M.D.
Internal Medicine
1915 WHITE AVE, SUITE 601
KNOXVILLE, TN 37916
Knox County (865) 525-4333
ALORA TERRY MS
Genetic Counselor, MS
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-4982
MS. CHERYL L VANDEWEGE
Nurse Practitioner
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720
AHMAD NAJIB HAMMAD
Internal Medicine (Medical Oncology)
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-2863
MORGAN HARRISON
Nurse Practitioner
1915 WHITE AVE
KNOXVILLE, TN 37916
Knox County (865) 331-1720
AMY LOUISE CAMPBELL FNP
Nurse Practitioner (Family)
1915 WHITE AVE, DEPARTMENT 100
KNOXVILLE, TN 37916
Knox County (865) 541-2865

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 Spranklin's NPI number?

The NPI number for Laura Spranklin is 1669792586. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Laura Spranklin located?

Laura Spranklin practices at 1915 White Ave, Knoxville, TN 37916. The listed phone number is (865) 541-1720.

What is Laura Spranklin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Laura Spranklin enrolled in Medicare?

Yes. Laura Spranklin 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 Laura Spranklin accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Laura Spranklin 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 Spranklin affiliated with any hospitals?

According to CMS data, Laura Spranklin is affiliated with University Health System, Inc, Leconte Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Laura Spranklin was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.