RYAN ANDERSON SPROUSE MD
NPI 1689967192
Family Medicine - Sports Medicine in Ranson, WV

Q: What is Ryan Sprouse's NPI number?

The NPI number for Ryan Sprouse is 1689967192. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Q: What is Ryan Sprouse's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Sprouse was last updated on September 18, 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.

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

203 E 4TH AVE, RANSON, WV 25438(304) 725-6343(304) 725-5523 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2024, Apr 6, 2022, Jan 12, 2021 (3 updates tracked since 2021).

On this page

About Ryan Anderson Sprouse Md NPPES

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

RYAN ANDERSON SPROUSE MD (NPI 1689967192) is an individual sports medicine provider in Ranson, West Virginia, licensed in West Virginia (26398) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1689967192

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameRYAN ANDERSON SPROUSECredential: MD

Location Address203 E 4TH AVERanson, WV 25438-1617

Mailing Address203 E 4th AveRanson, WV 25438-1617 · (304) 725-6343

Phone(304) 725-6343

Fax(304) 725-5523

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2011

Enumeration DateMay 17, 2011

Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1689967192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in WV · 26398

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 26398 (WV)

203 E 4TH AVE, Ranson, WV 25438

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Ryan Anderson Sprouse Md 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 ID5193033652

PECOS Enrollment IDI20151001002822

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

Medicare enrollment records show Ryan Sprouse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation

0.3 mi

Family Medicine

300 S PRESTON ST
Ranson, WV 25438

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1215785563 (304) 728-1795

City Hospital, Inc.

0.3 mi

Internal Medicine

207 E 5TH AVE
Ranson, WV 25438

Reassigned Medicare billing, West Virginia enrollment
231 clinicians in this Medicare group

NPI 1336657493 (304) 725-6777

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,214 services115 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.

163 services104 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

105 services69 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.

89 services89 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.

67 services49 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

52 services42 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

45 services33 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.

43 services36 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

35 services32 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

27 services13 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

26 services21 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

18 services15 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

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.

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511319

Location300 South Preston StreetRanson, WV 25438 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25438 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

KELSEY DAWN ASH MD

Family Medicine

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 725-6343

DR. ESTHER LIN MD

Family Medicine

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 725-6343

CONSTANCE BECKOM MD

Family Medicine (Geriatric Medicine)

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 725-6343

GRETCHEN DAWN EGBERT SPROUSE MD

Family Medicine

203 E 4TH AVE, UHP WOMEN'S HEALTH & FAMILY MEDICINE
RANSON, WV 25438

Jefferson County (304) 725-6343

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Counselor (Professional)

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 725-6343

LINDA KEELING CNM

Advanced Practice Midwife

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 535-6343

WVU MEDICAL OFFICE BUILDING

Clinical Medical Laboratory

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 293-7401

SAID H SANA MD

Family Medicine

203 E 4TH AVE
RANSON, WV 25438

Jefferson County (304) 725-6343

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 Ryan Sprouse's NPI number?

The NPI number for Ryan Sprouse is 1689967192. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Ryan Sprouse located?

Ryan Sprouse practices at 203 E 4th Ave, Ranson, WV 25438. The listed phone number is (304) 725-6343.

What is Ryan Sprouse's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ryan Sprouse enrolled in Medicare?

Yes. Ryan Sprouse 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 Ryan Sprouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Sprouse reassigns Medicare benefits to 2 organizations: West Virginia University Medical Corporation (Ranson, WV) and City Hospital, Inc. (Ranson, WV). 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 Ryan Sprouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Sprouse accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Ryan Sprouse 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 Ryan Sprouse affiliated with any hospitals?

According to CMS data, Ryan Sprouse is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Sprouse was last updated on September 18, 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.