JOSEPH W SPRAUL (MD) – Ophthalmology Physician, NPI 1134172141
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 OPHTHALMOLOGY in IL
Provider Addresses for JOSEPH W SPRAUL (MD)
1000 N Allen St
Robinson, IL 624541114
Phone: (618) 544-3131
Fax: (217) 347-2932
Type: Location
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
Effingham Ophthalmology Associates, 903, Medical Park Drive, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624012190
Phone: (217) 347-2933
Fax: (217) 347-2932
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($124).
Total Amount
$225
General + Research + Ownership
Payments
9
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100604001074 | I | Ophthalmology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 911 | 594 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 636 | 575 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 599 | 258 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 570 | 548 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 331 | 232 | $0 |
Insurance plans in this area (ZIP 62454)
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Provider's Procedures
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