LINDSEY D SPRAGUE PA
NPI 1760613129
Physician Assistant in Sanford, ME

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
25 JUNE ST, SANFORD, ME 04073(207) 324-4310(207) 490-7328 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lindsey D Sprague Pa NPPES

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

LINDSEY D SPRAGUE PA (NPI 1760613129) is an individual physician assistant in Sanford, Maine and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1760613129
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLINDSEY D SPRAGUECredential: PA
Location Address25 JUNE STSanford, ME 04073-2621
Mailing Address25 June StSanford, ME 04073-2621 · (207) 324-4310 · Fax (207) 490-7328
Fax(207) 490-7328
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 4, 2009
NPI 1760613129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
25 JUNE ST, Sanford, ME 04073

Accepted 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

Lindsey D Sprague Pa 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 ID6901942713
PECOS Enrollment IDI20091008000451
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 4

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.

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.
244 services101 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.
87 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers30 claims30 services$16.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$86.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
25 JUNE ST
SANFORD, ME 04073
Dietitian, Registered
25 JUNE ST
SANFORD, ME 04073
Nurse Practitioner (Psychiatric/Mental Health)
25 JUNE ST
SANFORD, ME 04073
Counselor (Mental Health)
25 JUNE ST
SANFORD, ME 04073
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
Physician Assistant
25 JUNE ST
SANFORD, ME 04073
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
Nurse Anesthetist, Certified Registered
25 JUNE ST
SANFORD, ME 04073

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 Lindsey Sprague's NPI number?

The NPI number for Lindsey Sprague is 1760613129. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Lindsey Sprague located?

Lindsey Sprague practices at 25 June St, Sanford, ME 04073. The listed phone number is (207) 324-4310.

What is Lindsey Sprague's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lindsey Sprague enrolled in Medicare?

Yes. Lindsey 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 Lindsey Sprague accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Lindsey 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 Lindsey Sprague affiliated with any hospitals?

According to CMS data, Lindsey Sprague is affiliated with York Hospital.

When was this NPI record last updated?

The NPPES record for Lindsey Sprague was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.