MR. BLAKLEY WALKER SPROLES PA-C
NPI 1831747955
Physician Assistant in Lynchburg, VA

Active since September 02, 2019PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
2410 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 200-1800 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Sep 5, 2020, Sep 2, 2019 (3 updates tracked since 2019).

About Mr. Blakley Walker Sproles Pa-c NPPES

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

MR. BLAKLEY WALKER SPROLES PA-C (NPI 1831747955) is an individual physician assistant in Lynchburg, Virginia, licensed in Virginia (0110-007454) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1831747955
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BLAKLEY WALKER SPROLESCredential: PA-C
Location Address2410 ATHERHOLT RDLynchburg, VA 24501-2148
Mailing Address3500 S Great Southwest Pkwy Apt 307Grand Prairie, TX 75052-7385 · (276) 791-0837
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 2, 2019
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1831747955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110-007454 Licensed in TX · PA17104
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.

2410 ATHERHOLT RD, Lynchburg, VA 24501

Secondary Practice Locations 6

Location 19990 Dallas Pkwy Ste 125Frisco, TX 75033-4137 · Phone (682) 683-2301
Location 21720 Fm 544 Ste 100Lewisville, TX 75056-4592 · Phone (682) 683-2301
Location 33101 Churchill Dr Ste 100Flower Mound, TX 75022-2717 · Phone (682) 683-2301
Location 47230 Crawford RdArgyle, TX 76226-2677 · Phone (682) 683-2301
Location 54545 Heritage Trace Pkwy Ste 1500Fort Worth, TX 76244-8938 · Phone (682) 683-2301
Location 64150 N Collins StArlington, TX 76005-4547 · Phone (682) 683-2301

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. Blakley Walker Sproles 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 ID7517387343
PECOS Enrollment IDI20201016001911
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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
71 services23 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.
45 services25 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.
28 services28 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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier31 claims3,080 services$0.36 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims450 services$20.25 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier39 claims1,431 services$7.11 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims150 services$8.75 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims522 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims438 services$2.06 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.

Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Nurse Practitioner (Family)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Family Medicine
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Interventional Cardiology)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Physician Assistant (Medical)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501

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 Blakley Sproles's NPI number?

The NPI number for Blakley Sproles is 1831747955. It was assigned to this individual provider in the NPPES registry on September 2, 2019.

Where is Blakley Sproles located?

Blakley Sproles practices at 2410 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-1800.

What is Blakley Sproles's specialty?

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

Is Blakley Sproles enrolled in Medicare?

Yes. Blakley Sproles 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 Blakley Sproles accept?

Health plans from Blue Cross and Blue Shield of Texas list Blakley Sproles 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 Blakley Sproles affiliated with any hospitals?

According to CMS data, Blakley Sproles is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Blakley Sproles was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.