AUSTIN SPRONK M.D.
NPI 1801240502
Family Medicine in Luverne, MN

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1600 N KNISS AVE, LUVERNE, MN 56156(507) 283-2321 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Mar 7, 2018 (2 updates tracked since 2018).

About Austin Spronk M.d. NPPES

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

AUSTIN SPRONK M.D. (NPI 1801240502) is an individual family medicine provider in Luverne, Minnesota, licensed in South Dakota (0314) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1801240502
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAUSTIN SPRONKCredential: M.D.
Location Address1600 N KNISS AVELuverne, MN 56156-1067
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (507) 283-2321
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
NPI 1801240502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SD · 0314
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 N KNISS AVE, Luverne, MN 56156

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

Austin Spronk 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 ID2365706165
PECOS Enrollment IDI20180502002121
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 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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
124 services14 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.
103 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
81 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services44 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
46 services11 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.
37 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56156 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers45 claims115 services$6.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims18 services$1.19 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$22.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims56 services$2.72 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$47.24 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
1 supplier12 claims12 services$119.41 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 12

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

Physical Therapy Assistant
1600 N KNISS AVE
LUVERNE, MN 56156
Speech-Language Pathologist
1600 N KNISS AVE
LUVERNE, MN 56156
Family Medicine
1600 N KNISS AVE
LUVERNE, MN 56156
Pharmacist
1600 N KNISS AVE, SANFORD HOSPITAL LUVERNE
LUVERNE, MN 56156
Physical Therapist
1600 N KNISS AVE
LUVERNE, MN 56156
General Acute Care Hospital (Critical Access)
1600 N KNISS AVE
LUVERNE, MN 56156
Physical Therapist
1600 N KNISS AVE
LUVERNE, MN 56156
Speech-Language Pathologist
1600 N KNISS AVE
LUVERNE, MN 56156

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 Austin Spronk's NPI number?

The NPI number for Austin Spronk is 1801240502. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Austin Spronk located?

Austin Spronk practices at 1600 N Kniss Ave, Luverne, MN 56156. The listed phone number is (507) 283-2321.

What is Austin Spronk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Austin Spronk enrolled in Medicare?

Yes. Austin Spronk 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 Austin Spronk accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Austin Spronk 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 Austin Spronk affiliated with any hospitals?

According to CMS data, Austin Spronk is affiliated with Sanford Worthington Medical Center, Sanford Luverne Medical Center, Pipestone County Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Austin Spronk was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.