KELLIE SPRAGUE MD
NPI 1942240585
Internal Medicine - Hematology in South Portland, ME

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106(207) 661-0200 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Jan 11, 2021 (2 updates tracked since 2021).

About Kellie Sprague Md NPPES

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

KELLIE SPRAGUE MD (NPI 1942240585) is an individual hematology provider in South Portland, Maine, licensed in Maine (MD24532) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Vermont College Of Medicine (1991).

NPPES Registry Identity

NPI1942240585
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameKELLIE SPRAGUECredential: MD
Location Address265 WESTERN AVE STE 2South Portland, ME 04106-2458
Mailing Address265 Western Ave Ste 2South Portland, ME 04106-2458 · (207) 661-0200
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1991
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1942240585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in ME · MD24532
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 154577 (MA)
265 WESTERN AVE STE 2, South Portland, ME 04106

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

Kellie Sprague Md 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 ID5496750127
PECOS Enrollment IDI20210204000031
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
188 services57 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.
87 services53 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
18 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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

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 (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Physician Assistant
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Medical Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106
Internal Medicine (Hematology & Oncology)
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106

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 Kellie Sprague's NPI number?

The NPI number for Kellie Sprague is 1942240585. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Kellie Sprague located?

Kellie Sprague practices at 265 Western Ave Ste 2, South Portland, ME 04106. The listed phone number is (207) 661-0200.

What is Kellie Sprague's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Kellie Sprague enrolled in Medicare?

Yes. Kellie 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 Kellie Sprague accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kellie 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 Kellie Sprague affiliated with any hospitals?

According to CMS data, Kellie Sprague is affiliated with Maine Medical Center, York Hospital, Mid Coast Hospital and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Sprague was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.