RICHARD S SPONG (M.D.) – Nephrology Physician, NPI 1689651093

RICHARD S SPONG (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 45487 (MN). The NPI Number for RICHARD S SPONG (M.D.) is 1689651093

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD S SPONG (M.D.)
NPI
1689651093
Phone
(612) 624-9444
Address
420 DELAWARE ST SE MMC 736
Enumeration Date
28 December 2005
Last Update Date
17 May 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6126727422
Graduation Year
1994 (32 years ago)
PAC ID
2769373745
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20040320000652
Address ID
MN554550363MI500XXSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

274 NEPHROLOGY in MN

Provider Addresses for RICHARD S SPONG (M.D.)

  • 420 DELAWARE ST SE MMC 736

    UNIVERSITY OF MINNESOTA PHYSICIANS

    MINNEAPOLIS, MN 554550356

    Phone: (612) 624-9444

    Fax: (612) 626-3840

    Type: Mailing

  • 516 DELWARE ST SE PWB CLINIC 2A

    UNIVERSITY OF MINNESOTA PHYSICIANS

    MINNEAPOLIS, MN 554550356

    Phone: (612) 624-9444

    Fax: (612) 626-3840

    Type: Location

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: 2004-03-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040320000652INephrologyMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes391104$0
99214Established patient office or other outpatient visit, 30-39 minutes273227$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10089$0
99215Established patient office or other outpatient visit, 40-54 minutes8462$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3021$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is RICHARD S SPONG (M.D.) listed with a National Provider Identifier?
Yes — RICHARD S SPONG (M.D.) has NPI 1689651093 on file in the registry.
Is RICHARD S SPONG (M.D.) still an active registrant?
RICHARD S SPONG (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is RICHARD S SPONG (M.D.)?
RICHARD S SPONG (M.D.) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is RICHARD S SPONG (M.D.) registered?
Use Minneapolis, Minnesota as the headline location for RICHARD S SPONG (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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