DR. BENJAMIN JULIUS SPRAGUE MD
NPI 1942542576
Internal Medicine in Pittsburgh, PA
About Dr. Benjamin Julius Sprague Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN JULIUS SPRAGUE MD (NPI 1942542576) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD457110) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of University Of Pittsburgh School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin Julius 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Sprague reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsburgh, PA 15213
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Presbyterian Shadyside
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
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 Benjamin Sprague's NPI number?
The NPI number for Benjamin Sprague is 1942542576. It was assigned to this individual provider in the NPPES registry on March 21, 2013.
Where is Benjamin Sprague located?
Benjamin Sprague practices at 200 Lothrop St Suite N-175, Upmc Montefiore, Pittsburgh, PA 15213. The listed phone number is (412) 692-4700.
What is Benjamin Sprague's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Benjamin Sprague enrolled in Medicare?
Yes. Benjamin 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.
Which organization bills Medicare for Benjamin Sprague's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Sprague reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Benjamin Sprague affiliated with any hospitals?
According to CMS data, Benjamin Sprague is affiliated with Upmc Presbyterian Shadyside.
When was this NPI record last updated?
The NPPES record for Benjamin Sprague was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Dr. Benjamin Julius Sprague, MD · NPI 1942542576
Internal Medicine physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 21, 2013.
## Identity
- **NPI:** 1942542576 (Entity type: Individual)
- **Enumerated:** March 21, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD457110 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 LOTHROP ST, SUITE N-175, UPMC MONTEFIORE, Pittsburgh, PA 15213-2536
- **Phone:** (412) 692-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Pittsburgh Physicians (NPI 1215995402, Pittsburgh, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** October 27, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1942542576) · Data from the CMS NPPES public registry.