DR. LON ALLEN SPROLES (D.O.) – Emergency Medicine Physician, NPI 1295078558
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,915 EMERGENCY MEDICINE in NY
Provider Addresses for DR. LON ALLEN SPROLES (D.O.)
3 CENTURY DRIVE
PARSIPPANY, NJ 07054
Phone: (214) 938-7088
Type: Mailing
175 W 12TH ST APT 4D
NEW YORK, NY 100118208
Phone: (214) 938-7088
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 $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $22 |
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: 2024-11-27
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 |
|---|---|---|---|---|
| I20210830001442 | I | Emergency Medicine | LA | TBD |
| I20241127000999 | I | Emergency Medicine | NV | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 377 | 362 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 171 | 168 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 155 | 149 | $0 |
| 99291 | Critical care, first 30-74 minutes | 21 | 21 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 07054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | LA | |
| Emergency Medicine | LA | |
| Emergency Medicine, Family Practice | LA | |
| Emergency Medicine | LA | |
| Emergency Medicine | MI | |
| Emergency Medicine | FL | |
| Family Practice, Emergency Medicine | UT | |
| Emergency Medicine | LA | |
| Emergency Medicine | LA | |
| Nurse Practitioner | LA |
Reviews
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