MR. STEVEN MICHAEL SPRANKLE DO
NPI 1801043146
Internal Medicine - Cardiovascular Disease in Dubois, PA

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
87.29/100
CMS Quality Rating
145 HOSPITAL AVE, SUITE 211, DUBOIS, PA 15801(814) 375-3722(814) 375-3086 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Mr. Steven Michael Sprankle Do NPPES

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

MR. STEVEN MICHAEL SPRANKLE DO (NPI 1801043146) is an individual cardiovascular disease provider in Dubois, Pennsylvania, licensed in Pennsylvania (OS014876) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1801043146
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. STEVEN MICHAEL SPRANKLECredential: DO
Location Address145 HOSPITAL AVE, SUITE 211Dubois, PA 15801-1469
Mailing Address145 Hospital Ave, Suite 211Dubois, PA 15801-1469 · (814) 375-3722 · Fax (814) 375-3086
Fax(814) 375-3086
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateAugust 19, 2008
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1801043146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · OS014876
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
145 HOSPITAL AVE, Dubois, PA 15801

Secondary Practice Location 1

Location 1120 E 2nd St Fl 2Erie, PA 16507-1579 · Phone (814) 877-9700 · Fax (814) 451-0443

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

Mr. Steven Michael Sprankle 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 ID9032353784
PECOS Enrollment IDI20141023001570
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,260 services1,067 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
806 services784 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
500 services470 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.
472 services398 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.
381 services366 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
171 services171 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

87.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.99
Promoting Interoperability91
Improvement Activities40
Cost87.16

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
17%23 patients1/55-star benchmark: 100%
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.
95%1,909 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%985 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
72%1,069 patients3/55-star benchmark: 100%
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…
83%2,112 patients4/55-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.

Physician Assistant
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Physician Assistant
145 HOSPITAL AVE, SUITE 301
DU BOIS, PA 15801
Physician Assistant (Medical)
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Internal Medicine
145 HOSPITAL AVE, SUITE 215
DU BOIS, PA 15801
Orthopaedic Surgery
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Obstetrics & Gynecology
145 HOSPITAL AVE, SUITE 315
DU BOIS, PA 15801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
145 HOSPITAL AVE, SUITE 206
DU BOIS, PA 15801
Internal Medicine (Cardiovascular Disease)
145 HOSPITAL AVE, STE 211
DUBOIS, PA 15801

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 Steven Sprankle's NPI number?

The NPI number for Steven Sprankle is 1801043146. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Steven Sprankle located?

Steven Sprankle practices at 145 Hospital Ave Suite 211, Dubois, PA 15801. The listed phone number is (814) 375-3722.

What is Steven Sprankle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Steven Sprankle enrolled in Medicare?

Yes. Steven Sprankle 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 Steven Sprankle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Steven Sprankle 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 Steven Sprankle affiliated with any hospitals?

According to CMS data, Steven Sprankle is affiliated with Penn Highlands Huntingdon, Penn Highlands Dubois, Punxsutawney Area Hospital, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Steven Sprankle was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.