Active NPI 1164748299 Individual Practitioner Male Practitioner

Dr. Jonathan Reid Sprague , MD

Internal Medicine • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Sprague, MD is a certified Internal Medicine practicing in Boulder, CO. With approximately 16 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 2010, Dr. Sprague delivers high-quality medical care to the local community at 4747 ARAPAHOE AVE.

Dr. Sprague is affiliated with Boulder Community Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4747 Arapahoe Ave

Boulder, CO 803031131

Telephone 3034157610

Fax 3034157618

Associated Practice Facility / Clinic

🏢 Boulder Community Health Facility NPI 1821074196

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boulder, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -8.2 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

77 Specialists

Practicing in Boulder, CO (2124 Statewide)

Telehealth Adoption Rate

31.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sprague (16 Years) 16 Yrs

Boulder Specialty Average (24.2 Years) 24.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	227	126	$229.26	$116.17
99239 Hospital discharge day management, more than 30 minutes	93	92	$222.73	$112.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	66	$152.25	$76.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	78	$340.36	$168.41
99291 Critical care, first 30-74 minutes	30	23	$525.17	$207.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	194	104	$217.00	$117.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	95	$342.44	$172.17
99239 Hospital discharge day management, more than 30 minutes	86	86	$210.00	$114.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	49	$148.61	$78.53
99291 Critical care, first 30-74 minutes	39	26	$460.00	$210.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	240	134	$173.00	$102.50
99239 Hospital discharge day management, more than 30 minutes	85	84	$176.00	$105.58
99291 Critical care, first 30-74 minutes	67	28	$460.00	$218.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	45	$120.00	$71.67
99220 Hospital observation care, typically 70 minutes	41	41	$309.00	$179.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$339.00	$195.41
99217 Hospital observation care on day of discharge	21	21	$121.00	$72.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	295	164	$173.00	$102.90
99239 Hospital discharge day management, more than 30 minutes	95	93	$176.00	$105.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	62	$120.00	$71.56
99220 Hospital observation care, typically 70 minutes	49	48	$309.00	$184.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$339.00	$199.04
99291 Critical care, first 30-74 minutes	23	17	$460.00	$222.60
99217 Hospital observation care on day of discharge	22	22	$121.00	$73.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	316	188	$171.49	$106.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	67	$118.13	$72.44
99239 Hospital discharge day management, more than 30 minutes	86	84	$174.29	$110.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	55	$335.55	$207.96
99220 Hospital observation care, typically 70 minutes	42	41	$307.38	$190.32
99291 Critical care, first 30-74 minutes	37	27	$455.08	$227.91
99217 Hospital observation care on day of discharge	20	20	$118.90	$74.58
99238 Hospital discharge day management, 30 minutes or less	11	11	$119.36	$75.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	344	210	$164.00	$105.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	93	$114.00	$74.30
99239 Hospital discharge day management, more than 30 minutes	127	120	$169.00	$109.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	76	$320.00	$205.24
99220 Hospital observation care, typically 70 minutes	64	64	$292.00	$189.54
99217 Hospital observation care on day of discharge	41	41	$115.00	$74.73
99291 Critical care, first 30-74 minutes	27	24	$434.00	$223.61
99238 Hospital discharge day management, 30 minutes or less	18	18	$115.00	$74.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	338	189	$164.00	$105.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	70	$114.00	$73.50
99239 Hospital discharge day management, more than 30 minutes	94	93	$169.00	$108.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	81	$320.00	$204.18
99220 Hospital observation care, typically 70 minutes	76	75	$292.00	$187.99
99291 Critical care, first 30-74 minutes	40	30	$434.00	$214.40
99217 Hospital observation care on day of discharge	36	36	$115.00	$73.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	335	166	$164.00	$104.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	129	80	$114.78	$72.55
99220 Hospital observation care, typically 70 minutes	115	113	$292.00	$186.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	92	$320.00	$203.33
99239 Hospital discharge day management, more than 30 minutes	71	70	$169.00	$108.25
99291 Critical care, first 30-74 minutes	57	33	$434.00	$210.23
99217 Hospital observation care on day of discharge	37	36	$115.00	$73.33

Medical Specialties & State Licenses

CMS Verified: 2026-02-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CO DR.0052120

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License CO DR.0052120

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

35222271 (CO)

Hospital & Practice Group Affiliations

Boulder Community Health

4747 Arapahoe Ave, Boulder, CO 803031131

Phone: 3034157610

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Santiago De La Garza , MD

Internal Medicine

NPI 1063830313

Doctor of Medicine (M.D.)

Dr. Jeska Albuisson , MD

Internal Medicine

NPI 1184899320

Doctor of Medicine (M.D.)

Dr. Rose Knudsen , MD

Family Medicine

NPI 1215596762

Doctor of Medicine (M.D.)

Lowell Anderson-Reitz , NP

Nurse Practitioner - Adult Health

NPI 1255374849

Nurse Practitioner

Dr. Adam Levine , DO

Internal Medicine

NPI 1306233705

Doctor of Osteopathic Medicine (D.O.)

Dr. Douglas Morgan , MD

Internal Medicine

NPI 1477630002

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location February 17, 2026

Registered at 4747 ARAPAHOE AVE, BOULDER, CO 803031131 (Tel: 3034157610)

📍

Updated Business Mailing Address February 17, 2026

Registered at PO BOX 9049, BOULDER, CO 803019049 (Tel: 3034154101)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Hospitalist (License #DR.0052120 in CO)

✅

NPI Profile Active November 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2017

Registered at 4747 ARAPAHOE AVE, BOULDER, CO 803031133 (Tel: 3034157610)

📍

Updated Business Mailing Address November 10, 2017

Registered at 5450 WESTERN AVE, SUITE B, BOULDER, CO 803012709 (Tel: 3034157610)

👤

Provider Name / Credentials Updated November 10, 2017

Recorded as JONATHAN SPRAGUE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2017

Internal Medicine (License #DR.0052120 in CO)

✅

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2015

Registered at 4747 ARAPAHOE AVE, BOULDER, CO 803031133 (Tel: 3034157610)

📍

Updated Business Mailing Address November 11, 2015

Registered at 5450 WESTERN AVE, SUITE B, BOULDER, CO 803012709 (Tel: 3034154770)

👤

Provider Name / Credentials Updated November 11, 2015

Recorded as JONATHAN SPRAGUE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Internal Medicine (License #DR.0052120 in CO)

🟢

Initial NPI Registration & Enumeration April 14, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164748299

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2010

Last Update: February 17, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9049

Boulder, CO 803019049

Phone: 3034154101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.