NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1326429804 MD
Verify on CMS → Brian Sprouse, MD
Emergency Medicine Physician in Bartlesville, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
166
Medicare Part D claims · 133 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
91.2/100
▲ 8 pts above national avg 83.5 · Exceptional
What the federal data shows
Brian Sprouse, MD reported a CMS MIPS final score of 91.2/100 - above the 83.5 national average - and filed 166 Medicare Part D claims in 2023.
- 91.2/100
- MIPS score · +8 vs avg
- 166
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥61st
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1326429804 · Emergency Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1326429804
- ENUM-MID 2015
- TAX-MEGA 64K Emergency Medicine
- MIPS-ABOVE 91.2/100
- RX-LIGHT 166
- BOOK-LIGHT 685 in Oklahoma
- PHOTO-FINISH Heidi Brown · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sprouse · this p…
Sprouse · this provider
91.2 MIPS pts
- Brian Milman · h…
Brian Milman
91.2 MIPS pts
- Heidi Brown · near
Heidi Brown
91.2 MIPS pts
- Amanda Cain · near
Amanda Cain
91.2 MIPS pts
- Frank Demarco · …
Frank Demarco
91.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Brian Sprouse, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
91 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Brian Sprouse, MD sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Sprouse, MD writes more Part D claims than 54% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Brian Sprouse, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Brian Sprouse, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Brian Sprouse, MD?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
166 53% vs specialty avg
MIPS final score
91.2/100 7.7 pts vs avg
Specialty distribution in Oklahoma
How Emergency Medicine Physician compares to other specialties among Oklahoma providers
Medicare quality performance, MIPS
Brian Sprouse, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 91.2/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1326429804 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/10/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2403
Final Score
Measured-score avg: 83.5
74.1347
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
166
Total Claims
$3K
Total Drug Cost
133
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 171
- Total Day Supply
- 1,433
- Generic Drug Cost
- $2K
- Opioid Claims
- 19 (11.4% rate)
- Antibiotic Claims
- 64
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 33, 65-74: 39, 75-84: 36, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Brian Sprouse, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
21 claims
- Cephalexin
Cephalexin
20 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
19 claims
- Cefpodoxime Proxetil
Cefpodoxime Proxetil
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 21 |
| Cephalexin | 20 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 19 |
| Cefpodoxime Proxetil | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Brian Sprouse, MD fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Brian Sprouse, MD's 166 claims are below the specialty average of 352.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Sprouse, both outside Oklahoma so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (91.2 here).
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Sprouse.
One of 685 Emergency Medicine Physician providers enrolled in Oklahoma, 5 are shown here.
Dr. David Abercrombie
MD
Oklahoma City, OK
Dr. Bobby Abernathy
D.O.
Tulsa, OK
Dr. Tyler Adams
D.O.
Lawton, OK
Dr. Tolulope Adepoju
MD
Norman, OK
Tinuola Agbabiaka
Oklahoma City, OK
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Brian Sprouse, MD's specialty? ▼
Brian Sprouse, MD specializes in Emergency Medicine Physician and practices in Bartlesville, Oklahoma. Credentials: MD.
How much does Brian Sprouse, MD prescribe under Medicare Part D? ▼
In 2023, Brian Sprouse, MD wrote 166 Medicare Part D claims totaling $3K in drug costs for 133 beneficiaries.
What is Brian Sprouse, MD's Medicare quality score? ▼
Brian Sprouse, MD has a CMS MIPS Final Score of 91.2/100 (Quality: 74.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Sprouse, MD located? ▼
Brian Sprouse, MD is located at 3500 E FRANK PHILLIPS BLVD, Bartlesville, OK, 74006. Phone: (918) 333-7200.
What is Brian Sprouse, MD's NPI number? ▼
Brian Sprouse, MD's National Provider Identifier (NPI) is 1326429804, issued on 06/10/2015.
Does Brian Sprouse, MD prescribe opioids? ▼
Yes, Brian Sprouse, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 11.4%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Brian Sprouse, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Brian Sprouse, MD's most frequently prescribed drugs include Prednisone, Cephalexin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Sprouse, MD accept Medicare? ▼
Brian Sprouse, MD appears in CMS Medicare data with 166 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Sprouse, MD's credentials? ▼
Brian Sprouse, MD's NPI is 1326429804 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.