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SUZANNE T SPRAGUE M.D.
NPI 1679834980
Internal Medicine in Westborough, MA

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
33 E MAIN ST, WESTBOROUGH, MA 01581(508) 839-4884(508) 836-3351 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Dec 5, 2020, Nov 16, 2020 and 3 more (6 updates tracked since 2016).

About Suzanne T Sprague M.d. NPPES

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

SUZANNE T SPRAGUE M.D. (NPI 1679834980) is an individual internal medicine provider in Westborough, Massachusetts, licensed in Massachusetts (266482) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of Tufts University School Of Medicine (2012).

NPPES Registry Identity

NPI1679834980
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUZANNE T SPRAGUECredential: M.D.
Location Address33 E MAIN STWestborough, MA 01581-1410
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 839-4884
Fax(508) 836-3351
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2012
Enumeration DateJune 4, 2012
Last NPPES UpdateMarch 12, 20256 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1679834980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 266482
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 266482 (MA)
33 E MAIN ST, Westborough, MA 01581
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Suzanne T Sprague 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 ID3173831435
PECOS Enrollment IDI20161122000112
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 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.

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.
73 services35 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.
45 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01581 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

DR. JOHN B MCCAHAN M.D.
Pediatrics
33 E MAIN ST
WESTBOROUGH, MA 01581
Worcester County (508) 836-4884
DR. BENNETT EDWARDS VOGT MD
Student in an Organized Health Care Education/Training Program
33 E MAIN ST
WESTBOROUGH, MA 01581
Worcester County (508) 836-4884
SUSAN P FINE MD
Internal Medicine
33 E MAIN ST
WESTBOROUGH, MA 01581
Worcester County (508) 836-4884
DR. DAVID R REMIS M.D.
Pediatrics
33 E MAIN ST
WESTBOROUGH, MA 01581
Worcester County (508) 836-4884

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 Suzanne Sprague's NPI number?

The NPI number for Suzanne Sprague is 1679834980. It was assigned to this individual provider in the NPPES registry on June 4, 2012.

Where is Suzanne Sprague located?

Suzanne Sprague practices at 33 E Main St, Westborough, MA 01581. The listed phone number is (508) 839-4884.

What is Suzanne Sprague's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suzanne Sprague enrolled in Medicare?

Yes. Suzanne Sprague 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 Suzanne Sprague accept?

Health plans from Anthem Blue Cross and Blue Shield list Suzanne 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.

Is Suzanne Sprague affiliated with any hospitals?

According to CMS data, Suzanne Sprague is affiliated with Umass Memorial Healthcare-Marlborough Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Suzanne Sprague was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.