PATRICK G. SPORLEDER (D.O.) – Family Medicine Physician, NPI 1922099506

PATRICK G. SPORLEDER (D.O.) is a healthcare provider. based in Jefferson city, Missouri. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. R4N43 (MO). The NPI Number for PATRICK G. SPORLEDER (D.O.) is 1922099506

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK G. SPORLEDER (D.O.)
NPI
1922099506
Phone
(573) 681-3767
Address
PO BOX 1027
Enumeration Date
2 November 2005
Last Update Date
7 October 2015

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5736352029
Graduation Year
1989 (37 years ago)
PAC ID
6406992445
Group Practice PAC ID
4688573686
Professional Enrollment ID
I20101011000658
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PATRICK G. SPORLEDER (D.O.)

  • 1027, Rockland Road, Jones Corner, Jefferson, Lincoln County, Maine, 04348, United States

    JEFFERSON CITY, MO 651021027

    Phone: (573) 681-3767

    Fax: (573) 761-6947

    Type: Mailing

  • 3527, West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651095715

    Phone: (573) 761-7979

    Fax: (573) 761-5515

    Type: Location

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Alkermes, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-11

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
I20101011000658IFamily PracticeMOTBD

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
36415Insertion of needle into vein for collection of blood sample4029$0
99214Established patient office or other outpatient visit, 30-39 minutes3332$0
80053Blood test, comprehensive group of blood chemicals2320$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1816$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 65102)

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Provider's Procedures

PATRICK G. SPORLEDER (D.O.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO90670Pneumococcal vaccine for injection into muscle1616

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: 4688573686View full group profile
NameSpecialtyState
-MO
Family PracticeMO
Family PracticeMO
-MO
Internal MedicineMO
Family PracticeMO
-MO
-MO
Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists), Internal MedicineMO
-MO

Reviews

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Frequently asked questions

What NPI should I save for PATRICK G. SPORLEDER (D.O.)?
Save NPI 1922099506 if you need a stable reference for PATRICK G. SPORLEDER (D.O.).
Is PATRICK G. SPORLEDER (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PATRICK G. SPORLEDER (D.O.)'s specialty in plain language?
Clinically, the directory lists PATRICK G. SPORLEDER (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does PATRICK G. SPORLEDER (D.O.) practice in Missouri?
You will see Jefferson City, Missouri on file for PATRICK G. SPORLEDER (D.O.) alongside any extra practice locations.
How can I contact PATRICK G. SPORLEDER (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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