DAVID BOYD SPROUSE (PA-C) – Physician Assistant, NPI 1528256807

DAVID BOYD SPROUSE (PA-C) is a healthcare provider. based in University place, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 60162509 (WA). The NPI Number for DAVID BOYD SPROUSE (PA-C) is 1528256807

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DAVID BOYD SPROUSE (PA-C)
NPI
1528256807
Phone
(253) 848-3000
Address
5225 CIRQUE DR W
Enumeration Date
11 October 2007
Last Update Date
17 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535643365
Graduation Year
2007 (19 years ago)
PAC ID
7113009903
Group Practice PAC ID
4486541554
Professional Enrollment ID
I20100913000472
Address ID
WA984673638UN5225XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for DAVID BOYD SPROUSE (PA-C)

  • Cascade Coffe Coner, 5225, Cirque Drive West, Alameda Park, University Place, Pierce County, Washington, 98499-8398, United States

    200

    UNIVERSITY PLACE, WA 984673604

    Phone: (253) 848-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,388.

Total Amount is formed as General ($1,388) + Research ($0) + Ownership ($0) = $1,388.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($381).

Total Amount

$1,388

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-13

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
I20100913000472IPhysician AssistantWATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,837283$0
99213Established patient office or other outpatient visit, 20-29 minutes611450$0
17000Destruction of precancer skin growth, 1 growth508363$0
17110Destruction of skin growth, 1-14 growths296217$0
11102Biopsy of related skin growth, first growth235208$0
View full utilization report →

Insurance plans in this area (ZIP 98467)

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Provider's Procedures

DAVID BOYD SPROUSE (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWA11101Biopsy of each additional growth of skin and/or tissue6851
PHYSICIAN ASSISTANTWA17003Destruction of 2-14 skin growths1523243

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: 4486541554View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
-WA
O P H T H A L M O L O G YWA
D E R M A T O L O G YWA
-WA
Physician AssistantWA
Physician AssistantWA
O P H T H A L M O L O G YTX
Micrographic Dermatologic Surgery (Mds), DermatologyWA
O P H T H A L M O L O G YWA

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Frequently asked questions

Does DAVID BOYD SPROUSE (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DAVID BOYD SPROUSE (PA-C) uses 1528256807.
Is DAVID BOYD SPROUSE (PA-C) listed as active for patients and plans?
The listing shows DAVID BOYD SPROUSE (PA-C) as active in the NPI system.
What is DAVID BOYD SPROUSE (PA-C)'s specialty?
The listing groups DAVID BOYD SPROUSE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is DAVID BOYD SPROUSE (PA-C) based?
DAVID BOYD SPROUSE (PA-C) is tied to University Place, Washington in the data we show; additional addresses may exist on the full record.
Why does DAVID BOYD SPROUSE (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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