NPPES file of Aug 9, 2026

Benjamin Julius Sprague, MD

Student in an Organized Health Care Education/Training Program · Pittsburgh, PA

Benjamin Julius Sprague, MD is a student in an organized health care education/training program with a practice address in Pittsburgh, Pennsylvania, and NPI 1942542576, issued on Mar 21, 2013. Check the license with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1942542576
Name
Benjamin Julius Sprague
Credential
MD
Primary taxonomy
Student in an Organized Health Care Education/Training Program 390200000X
Practice location
200 Lothrop St, Pittsburgh, PA 15213
Phone
(412) 692-4700
Enumerated
Mar 21, 2013
Record last updated
Mar 21, 2013 (not updated in 13 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20170713002521); accepts Medicare assignment
Medical or professional school
University Of Pittsburgh School Of Medicine, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 200 Lothrop St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amy AbbottCertified Registered Nurse Anesthetist1689943490
  2. Bisan Abboud, MDStudent in an Organized Health Care Education/Training Program1588359434
  3. Othman Abdul-MalakVascular Surgery Physician1003285602
  4. Mohamed Abdullah, MDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician1164001277
  5. Raed Abdullah, MDSpecialist1962474353
  6. Michael Abesamis, M.D.Emergency Medicine Physician1467647958

Verify Benjamin Julius Sprague in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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77% fewer Medicare Part D claims than the average student in an organized health care education/training program in 2024

43 Medicare Part D claims for 23 beneficiaries, against an average of 185 among the 59,748 providers of this specialty who prescribed in Part D.

  1. Benjamin Sprague43
  2. Specialty average185

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 77.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.6
  2. Costout of 100 · 30%56.4
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. University OF Pittsburgh PhysiciansPittsburgh, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Benjamin Julius Sprague among 12,792 student in an organized health care education/training program records in Pennsylvania

Benjamin Julius Sprague, MD is one of 12,792 student in an organized health care education/training program records with a practice address in Pennsylvania. 33% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 2% of them.

  • NPI issued2013 · 2% of these records are older, 97% newer
  • In a Medicare fileYes · 33% of these records are
  • In the CMS Doctors and Clinicians fileYes · 4% of these records are
  • Graduated2013 · median 2019 among the 549 with a school on file
  • Record last updated2013 · 16% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2,922 student in an organized health care education/training program records list a practice address in Pittsburgh

They are 2,922 of the 28,866 NPPES records with a practice address in Pittsburgh, and 12,792 student in an organized health care education/training program records in Pennsylvania.

The 8 student in an organized health care education/training program records with the nearest ZIP codes

  1. Laura Brubaker, MD, MPHPittsburgh, PA 152131730329939
  2. Kristin Dalope, MDPittsburgh, PA 152131780846840
  3. Nikhil Gupta, M.D.Pittsburgh, PA 152131336334747
  4. Brian HeistPittsburgh, PA 152131265540108
  5. Gabriel Herrera, M.D.Pittsburgh, PA 152131265698757
  6. Vikram KrishnasamyPittsburgh, PA 152131841432333
  7. Jason LucianoPittsburgh, PA 152131932420593
  8. Thomas OlinoPittsburgh, PA 152131881866994

Common questions

What is Benjamin Julius Sprague, MD's NPI number?

Benjamin Julius Sprague, MD's National Provider Identifier (NPI) is 1942542576, issued on Mar 21, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Benjamin Julius Sprague, MD located?

The NPPES record lists a practice address at 200 Lothrop St, Pittsburgh, PA, 15213. Phone: (412) 692-4700. Providers update this record themselves, so call before visiting.

How can I verify Benjamin Julius Sprague, MD's license?

Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

How much does Benjamin Julius Sprague, MD prescribe under Medicare Part D?

In 2024, Benjamin Julius Sprague, MD had 43 Medicare Part D claims for 23 beneficiaries; the average among student in an organized health care education/training program prescribers was 185. Part D covers Medicare prescriptions only.

What is Benjamin Julius Sprague, MD's MIPS final score?

The 2023 MIPS final score is 77.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.