CAITLIN MAE SPROLE PA-C
NPI 1710357660
Physician Assistant - Medical in Lewiston, NY

Q: What is Caitlin Sprole's NPI number?

The NPI number for Caitlin Sprole is 1710357660. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Q: What is Caitlin Sprole's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Sprole was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 05, 2015PECOS EnrolledAccepts Medicare Assignment

5300 MILITARY RD, LEWISTON, NY 14092(716) 297-4800 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Caitlin Mae Sprole Pa-c NPPES

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

CAITLIN MAE SPROLE PA-C (NPI 1710357660) is an individual medical provider in Lewiston, New York, licensed in New York (019159) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710357660

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAITLIN MAE SPROLECredential: PA-C

Location Address5300 MILITARY RDLewiston, NY 14092-1903

Mailing Address40 George Karl BlvdWilliamsville, NY 14221-7183 · (716) 297-4800

Phone(716) 297-4800

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 5, 2015

Last NPPES UpdateOctober 31, 2019

✔ NPI 1710357660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 019159

5300 MILITARY RD, Lewiston, NY 14092

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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

Caitlin Mae Sprole Pa-c 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 ID2860793783

PECOS Enrollment IDI20151218001430

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 7

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.

179 services104 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.

69 services69 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

56 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services13 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

20 services20 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330188

Location5300 Military RoadLewiston, NY 14092 · Niagara County

Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%46 patients5/55-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.

DR. JAMES EDWARD PEPPRIELL MD

Anesthesiology

5300 MILITARY RD, DEPT OF ANESTHESIA MT ST MARYS HOSPITAL
LEWISTON, NY 14092

Niagara County (716) 297-2998

STACY JEAN NEISWONGER ANP

Nurse Practitioner (Adult Health)