BRIAN SPROUSE (MD) – Emergency Medicine Physician, NPI 1326429804
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN SPROUSE (MD)
1164 W MADISON ST UNIT 627
CHICAGO, IL 606073802
Phone:
Type: Mailing
5841 S MARYLAND AVE
MC 5068, ROOM L539
CHICAGO, IL 606371447
Phone: (773) 702-9500
Type: Location
3500 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 740062411
Phone: (918) 333-7200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20211027000763 | I | Emergency Medicine | OK | TBD |
| I20240508002283 | I | Emergency Medicine | IA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 251 | 243 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 102 | 99 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 61 | 59 | $0 |
Insurance plans in this area (ZIP 60607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | MD | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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