SUSAN SPRATT M.D.
NPI 1942384813
Internal Medicine - Endocrinology, Diabetes & Metabolism in Durham, NC

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
2100 ERWIN RD, DURHAM, NC 27710(919) 620-4467 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Spratt M.d. NPPES

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

SUSAN SPRATT M.D. (NPI 1942384813) is an individual endocrinology, diabetes & metabolism provider in Durham, North Carolina, licensed in North Carolina (2001-01398) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Harvard Medical School (1995).

NPPES Registry Identity

NPI1942384813
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSUSAN SPRATTCredential: M.D.
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address2100 Erwin Rd, Duke University Medical Center - Dumc 3311Durham, NC 27710-0001
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1995
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 22, 2013
NPI 1942384813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NC · 2001-01398
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2100 ERWIN RD, Durham, NC 27710

Other Identifiers 3

Medicare ID-Type Unspecified2297543NC
Medicare ID-Type Unspecified89130J8NC
Medicare ID-Type UnspecifiedG70579

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

Susan Spratt 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 ID4385739010
PECOS Enrollment IDI20070926000843
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

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
54 services54 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers18 claims230 services$17.62 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers17 claims536 services$2.23 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers51 claims193 services$6.51 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers28 claims51 services$1.17 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
3 suppliers14 claims1,360 services$7.62 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.

Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710

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 Susan Spratt's NPI number?

The NPI number for Susan Spratt is 1942384813. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Susan Spratt located?

Susan Spratt practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 620-4467.

What is Susan Spratt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Susan Spratt enrolled in Medicare?

Yes. Susan Spratt 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 Susan Spratt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Susan Spratt 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 Susan Spratt affiliated with any hospitals?

According to CMS data, Susan Spratt is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Susan Spratt was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.