KELLIE SPRAGUE (MD) – Hematology (Internal Medicine) Physician, NPI 1942240585
Hematology (Internal Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
191 HEMATOLOGY in MA
Provider Addresses for KELLIE SPRAGUE (MD)
PRATT MEDICAL GROUP
750 WASHINGTON STREET- NE MED CTR
BOSTON, MA 022110001
Phone: (617) 636-5144
Type: Location
Congress St @ A St, Congress Street, Seaport District, Financial District, Boston, Suffolk County, Massachusetts, 02210, United States
750 WASHINGTON STREET- NEW ENG MED CTR
BOSTON, MA 022111218
Phone: (617) 636-5144
Type: Mailing
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 041062458
Phone: (207) 661-0200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: SOBI, INC ($200).
Total Amount
$336
General + Research + Ownership
Payments
3
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $200 |
| Seagen Inc. | $117 |
| PharmaEssentia USA Corporation | $19 |
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: 2021-02-04
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 |
|---|---|---|---|---|
| I20210204000031 | I | Hematology | ME | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 116 | 52 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 82 | 39 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 37 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 19 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 02211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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