JENNIFER TERESA SPRAGUE – Physician Assistant, NPI 1033628268
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for JENNIFER TERESA SPRAGUE
10506 MONTGOMERY RD STE 200A
MONTGOMERY, OH 452424400
Phone: (513) 865-2227
Fax: (513) 865-5552
Type: Location
20 Medical Village Dr
Edgewood, KY 410175401
Phone: (859) 301-4723
Fax: (859) 301-4724
Type: Location
20, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410175401
Phone: (859) 301-4723
Fax: (859) 301-4724
Type: Location
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 410171686
Phone: (859) 301-4723
Fax: (859) 301-4724
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 149 Open Payments records for all available years, with a total value of $2,499.
Total Amount is formed as General ($2,499) + Research ($0) + Ownership ($0) = $2,499.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($488).
Total Amount
$2,499
General + Research + Ownership
Payments
149
Total payment records
General Amount
$2,499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-04-05
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 |
|---|---|---|---|---|
| I20171017002126 | I | Physician Assistant | KY | TBD |
| I20180405002043 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 175 | 49 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 59 | 22 | $0 |
Insurance plans in this area (ZIP 45242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Radiation Oncology | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| P O D I A T R Y | OH | |
| Physician Assistant | OH | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | CO | |
| H O S P I T A L I S T | IL | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH |
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