Active NPI 1134172141 Individual Practitioner Male Practitioner

Dr. Joseph W Spraul , MD

Ophthalmology • Effingham, IL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Spraul, MD is a registered Ophthalmology practitioner in Effingham, IL. With approximately 34 years of clinical practice since graduating from Washington University School Of Medicine in 1992, Dr. Spraul provides healthcare services at the registered practice location at 903 MEDICAL PARK DR.

Dr. Spraul maintains professional affiliations with County Of Clay, Effingham Ophthalmology Associates, Ltd., Sarah Bush Lincoln Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

903 Medical Park Dr

Effingham, IL 624012190

Telephone 2173472933

Fax 2173472932

Associated Practice Facility / Clinic

🏢 Effingham Ophthalmology Associates, Ltd. Facility NPI 1598718454

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +2.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Effingham, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spraul (34 Years) 34 Yrs

Effingham Specialty Average (32.0 Years) 32.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	738	637	$172.00	$87.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	694	547	$16.60	$15.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	624	415	$106.00	$54.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	611	587	$243.00	$123.29
92136 Measurement of corneal curvature and depth of eye	546	237	$93.39	$23.59
92014 Established patient complete exam of visual system	305	302	$235.00	$118.07
92083 Exam of visual field with extended testing	298	273	$114.79	$55.52
66984 Removal of cataract with insertion of lens	288	188	$1400.00	$514.24
92012 Established patient problem focused exam of visual system	212	204	$173.00	$83.30
92134 Imaging of retina	209	175	$99.76	$37.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	181	181	$318.00	$162.16
92133 Imaging of optic nerve	97	92	$99.48	$33.17
66821 Removal of recurring cataract in lens capsule using a laser	85	78	$628.68	$315.08
92004 New patient complete exam of visual system	59	59	$280.00	$140.21
65855 Laser repair to improve eye fluid flow	31	25	$1498.59	$233.65
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$65.00	$25.90
67820 Removal of eyelashes using forceps	25	15	$50.00	$18.11
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	21	16	$1800.00	$646.62
66982 Complex removal of cataract with insertion of prosthetic lens	16	12	$2915.29	$706.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	911	594	$106.00	$54.04
99213 Established patient office or other outpatient visit, typically 15 minutes	636	575	$172.00	$86.78
92136 Measurement of corneal curvature and depth of eye	599	258	$93.45	$23.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	570	548	$243.00	$123.01
66984 Removal of cataract with insertion of lens	331	232	$1400.00	$513.84
92083 Exam of visual field with extended testing	272	249	$114.46	$55.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	249	248	$318.00	$160.82
92012 Established patient problem focused exam of visual system	208	204	$173.00	$84.67
92134 Imaging of retina	202	167	$100.00	$37.65
92014 Established patient complete exam of visual system	121	120	$235.00	$119.03
92133 Imaging of optic nerve	96	89	$100.00	$34.04
66821 Removal of recurring cataract in lens capsule using a laser	77	74	$637.18	$318.17
92020 Examination of cornea and iris using lens device and slit lamp	45	42	$65.00	$26.22
92004 New patient complete exam of visual system	41	41	$280.00	$141.29
65855 Laser repair to improve eye fluid flow	41	29	$1498.59	$232.44
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	38	23	$1800.00	$645.54
76519 Ultrasound of eye for determination of lens power	23	13	$89.78	$30.83
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$101.00	$69.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,273	894	$75.17	$55.29
99213 Established patient office or other outpatient visit, typically 15 minutes	586	543	$105.00	$88.98
92136 Measurement of corneal curvature and depth of eye	474	221	$75.22	$25.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	437	414	$150.00	$125.58
66984 Removal of cataract with insertion of lens	309	219	$1400.00	$526.35
92083 Exam of visual field with extended testing	264	248	$110.84	$55.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	196	196	$220.50	$165.18
92134 Imaging of retina	132	117	$100.00	$37.96
92012 Established patient problem focused exam of visual system	113	112	$116.00	$85.96
76519 Ultrasound of eye for determination of lens power	106	49	$86.16	$31.68
66821 Removal of recurring cataract in lens capsule using a laser	96	82	$609.38	$325.17
92004 New patient complete exam of visual system	67	67	$199.00	$144.79
92014 Established patient complete exam of visual system	65	65	$166.00	$122.17
92133 Imaging of optic nerve	50	49	$100.00	$34.85
92020 Examination of cornea and iris using lens device and slit lamp	30	29	$64.34	$27.18
65855 Laser repair to improve eye fluid flow	27	22	$1498.59	$239.49
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	26	20	$1800.00	$659.57
92002 New patient problem focused exam of visual system	23	23	$120.00	$82.98
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$101.00	$71.35
66982 Complex removal of cataract with insertion of prosthetic lens	15	12	$2915.29	$720.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$144.00	$110.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,585	1,069	$75.00	$54.76
99213 Established patient office or other outpatient visit, typically 15 minutes	683	641	$105.00	$89.74
92136 Measurement of corneal curvature and depth of eye	551	246	$75.03	$27.21
66984 Removal of cataract with insertion of lens	408	285	$1400.00	$530.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	295	$150.00	$127.60
92083 Exam of visual field with extended testing	287	271	$111.12	$56.10
92004 New patient complete exam of visual system	244	244	$199.00	$145.88
92134 Imaging of retina	166	136	$100.00	$39.07
76519 Ultrasound of eye for determination of lens power	138	65	$88.24	$32.22
92014 Established patient complete exam of visual system	116	115	$166.00	$122.57
66821 Removal of recurring cataract in lens capsule using a laser	111	99	$610.81	$327.39
92012 Established patient problem focused exam of visual system	69	69	$116.00	$86.68
92133 Imaging of optic nerve	57	55	$100.00	$35.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$220.00	$166.14
92020 Examination of cornea and iris using lens device and slit lamp	45	43	$64.34	$27.16
65855 Laser repair to improve eye fluid flow	44	35	$1498.59	$241.29
0191T Internal insertion of eye fluid drainage device	31	22	$450.00	$339.99
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$101.00	$71.58
92002 New patient problem focused exam of visual system	19	19	$120.00	$83.38
67820 Removal of eyelashes using forceps	15	13	$50.00	$20.69
66982 Complex removal of cataract with insertion of prosthetic lens	13	12	$2915.29	$727.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$144.00	$110.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,244	881	$75.00	$44.67
92014 Established patient complete exam of visual system	543	528	$166.00	$123.27
92136 Measurement of corneal curvature and depth of eye	494	214	$80.42	$31.33
92012 Established patient problem focused exam of visual system	395	372	$116.00	$86.19
99213 Established patient office or other outpatient visit, typically 15 minutes	367	353	$105.00	$74.21
66984 Removal of cataract with insertion of lens	362	249	$1400.00	$543.73
92004 New patient complete exam of visual system	317	317	$199.00	$146.99
92083 Exam of visual field with extended testing	304	287	$109.33	$55.89
92134 Imaging of retina	151	131	$99.67	$39.19
76519 Ultrasound of eye for determination of lens power	115	55	$92.60	$34.28
66821 Removal of recurring cataract in lens capsule using a laser	104	97	$608.65	$329.64
92133 Imaging of optic nerve	87	79	$99.43	$35.59
92002 New patient problem focused exam of visual system	37	37	$120.00	$81.70
92020 Examination of cornea and iris using lens device and slit lamp	36	31	$64.34	$27.28
0191T Internal insertion of eye fluid drainage device	34	23	$450.00	$329.35
66982 Complex removal of cataract with insertion of prosthetic lens	18	14	$2915.29	$746.83
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$101.00	$75.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,246	874	$74.95	$43.41
92136 Measurement of corneal curvature and depth of eye	670	292	$79.91	$33.61
92012 Established patient problem focused exam of visual system	510	466	$115.96	$84.67
92014 Established patient complete exam of visual system	498	485	$165.90	$121.61
66984 Removal of cataract with insertion of lens	494	332	$1400.00	$624.34
92004 New patient complete exam of visual system	365	365	$198.77	$145.61
99213 Established patient office or other outpatient visit, typically 15 minutes	362	355	$104.94	$71.90
92083 Exam of visual field with extended testing	300	280	$109.44	$55.45
92134 Imaging of retina	164	144	$99.70	$38.48
76519 Ultrasound of eye for determination of lens power	117	58	$91.71	$32.99
66821 Removal of recurring cataract in lens capsule using a laser	88	82	$615.91	$324.05
92133 Imaging of optic nerve	71	69	$100.00	$34.72
92002 New patient problem focused exam of visual system	44	44	$120.00	$79.80
92020 Examination of cornea and iris using lens device and slit lamp	35	34	$64.34	$26.72
66982 Complex removal of cataract with insertion of prosthetic lens	23	17	$2915.29	$777.38
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$101.00	$74.00
65855 Laser repair to improve eye fluid flow	18	15	$1498.59	$233.48
76514 Ultrasound scan of cornea to determine thickness	11	11	$29.25	$11.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,288	856	$60.58	$40.99
92136 Measurement of corneal curvature and depth of eye	531	276	$110.48	$40.54
92014 Established patient complete exam of visual system	470	453	$141.25	$117.21
66984 Removal of cataract with insertion of lens	447	311	$1400.00	$603.26
92012 Established patient problem focused exam of visual system	443	420	$97.21	$81.28
99213 Established patient office or other outpatient visit, typically 15 minutes	441	416	$84.51	$68.59
92004 New patient complete exam of visual system	394	393	$170.76	$140.10
92083 Exam of visual field with extended testing	291	276	$111.80	$55.04
92134 Imaging of retina	156	134	$99.36	$37.92
66821 Removal of recurring cataract in lens capsule using a laser	106	93	$600.00	$306.92
76519 Ultrasound of eye for determination of lens power	105	60	$104.47	$40.36
92133 Imaging of optic nerve	74	71	$98.65	$33.73
92002 New patient problem focused exam of visual system	32	32	$94.06	$77.38
92020 Examination of cornea and iris using lens device and slit lamp	26	19	$64.34	$25.15
66982 Complex removal of cataract with insertion of prosthetic lens	22	20	$2915.29	$753.91
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$87.40	$67.67
65855 Laser repair to improve eye fluid flow	12	11	$1498.59	$231.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$125.46	$101.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,267	879	$60.58	$39.14
66984 Removal of cataract with insertion of lens	548	373	$1400.00	$578.04
92136 Measurement of corneal curvature and depth of eye	531	320	$150.05	$50.31
92014 Established patient complete exam of visual system	515	491	$141.25	$110.66
99213 Established patient office or other outpatient visit, typically 15 minutes	480	463	$84.51	$66.03
92012 Established patient problem focused exam of visual system	395	374	$97.21	$76.32
92004 New patient complete exam of visual system	364	364	$170.88	$133.29
92083 Exam of visual field with extended testing	310	289	$108.69	$51.70
92134 Imaging of retina	172	142	$100.00	$36.24
76519 Ultrasound of eye for determination of lens power	96	66	$125.26	$51.32
66821 Removal of recurring cataract in lens capsule using a laser	86	76	$600.00	$293.23
92133 Imaging of optic nerve	84	82	$97.62	$31.26
92002 New patient problem focused exam of visual system	38	38	$93.22	$72.38
92020 Examination of cornea and iris using lens device and slit lamp	30	30	$64.34	$24.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$125.46	$97.13
65855 Laser repair to improve eye fluid flow	16	14	$1498.59	$220.45
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$87.40	$67.67

Medical Specialties & State Licenses

CMS Verified: 2026-04-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036092488

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036092488 (IL)

Commercial Insurance / Payer ID Blue Cross

2500068

Commercial Insurance / Payer ID Railroad Medicare

180025650

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384644

Phone: 2172582525

County Of Clay

911 Stacey Burk Dr, Flora, IL 628393241

Phone: 6186622131

County Of Clay

929 Stacey Burk Dr, Flora, IL 628393241

Phone: 6186622131

Effingham Ophthalmology Associates, Ltd.

903 Medical Park Dr, Effingham, IL 624012190

Phone: 2173472933

Secondary Practice Locations

1000 N Allen St

Robinson, IL 624541114

Phone: 6185443131

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. John Kay , MD

Ophthalmology

NPI 1093768061

Doctor of Medicine (M.D.)

Dr. Christy Hohenbary , OD

Optometrist

NPI 1447203591

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 04, 2026

Registered at PO BOX 372, MATTOON, IL 619380372

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2019

Ophthalmology (License #036092488 in IL)

✅

NPI Profile Active January 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2008

Registered at 903 MEDICAL PARK DR, EFFINGHAM, IL 624012190 (Tel: 2173472933)

📍

Updated Business Mailing Address January 04, 2008

Registered at 903 MEDICAL PARK DR, EFFINGHAM, IL 624012190 (Tel: 2173472933)

👤

Provider Name / Credentials Updated January 04, 2008

Recorded as JOSEPH SPRAUL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2008

Ophthalmology

🟢

Initial NPI Registration & Enumeration May 19, 2006

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: 1134172141

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: April 22, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 372

Mattoon, IL 619380372

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.