DEREK T SPRUNGER (MD) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1184625311
Pediatric Ophthalmology and Strabismus Specialist Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
328 OPHTHALMOLOGY in IN
Provider Addresses for DEREK T SPRUNGER (MD)
201 PENNSYLVANIA PKWY STE 100
CARMEL, IN 462801393
Phone: (317) 817-1333
Type: Location
130, North Shadeland Avenue, Indianapolis, Marion, Indiana, 46219, United States
INDIANAPOLIS, IN 462194959
Phone: (317) 962-4792
Type: Mailing
Riley Hospital for Children, 705, Riley Hospital Drive, Indianapolis, Marion, Indiana, 46202, United States
INDIANAPOLIS, IN 462025109
Phone: (317) 944-8103
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone: (317) 962-4792
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-03-01 • Largest payer in this snapshot: LKC Technologies, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LKC Technologies, Inc. | $15 |
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: 2004-06-16
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 |
|---|---|---|---|---|
| I20040616001396 | I | Ophthalmology | IN | 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 |
|---|---|---|---|---|
| 92060 | Exam to measure eye deviation and range of motion | 92 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 36 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 26 | $0 |
| 67311 | Realignment of horizontal eye muscle | 18 | 17 | $0 |
Insurance plans in this area (ZIP 46280)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | NC | |
| U R O L O G Y | IN | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Nurse Practitioner | IN | |
| P A T H O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| E N D O C R I N O L O G Y | IN | |
| Family Practice, Sports Medicine | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Orthopedic Surgery | MO |
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