Active NPI 1831629146 Individual Practitioner Female Practitioner

Dr. Madison A Sprunger , OD

Optometrist • Marion, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Madison Sprunger, OD is a certified Optometrist practicing in Marion, IN. With approximately 9 years of clinical experience since graduating from Indiana University - School Of Optometry in 2017, Dr. Sprunger delivers high-quality medical care to the local community at 3510 S WESTERN AVE.

Dr. Sprunger is affiliated with Midwest Eye Consultants Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3510 S Western Ave

Marion, IN 46953

Telephone 7656626594

Fax 7656626595

Associated Practice Facility / Clinic

🏢 Midwest Eye Consultants, P.c. Facility NPI 1952364564

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Marion, IN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -9.9 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

20 Specialists

Practicing in Marion, IN (1644 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sprunger (9 Years) 9 Yrs

Marion Specialty Average (18.9 Years) 18.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	214	$150.00	$119.05
92250 Photography of the retina	247	243	$140.00	$34.18
99213 Established patient office or other outpatient visit, typically 15 minutes	115	61	$105.00	$84.35
92014 Established patient complete exam of visual system	85	72	$150.00	$116.79
83516 Analysis of substance using immunoassay technique	82	26	$40.00	$11.30
83861 Microfluid analysis of tears	80	25	$60.00	$22.03
92083 Exam of visual field with extended testing	74	62	$120.00	$58.33
92133 Imaging of optic nerve	69	58	$59.00	$31.50
68761 Closure of tear duct opening using plug	54	18	$240.00	$100.53
92020 Examination of cornea and iris using lens device and slit lamp	52	52	$50.00	$25.55
92134 Imaging of retina	49	43	$59.00	$36.59
92202 Extended exam of the back part of the eye with optic nerve drawing	40	40	$40.00	$14.41
66984 Removal of cataract with insertion of lens	12	11	$175.00	$99.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$195.00	$155.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	182	$143.66	$119.73
92250 Photography of the retina	211	210	$140.00	$34.84
92014 Established patient complete exam of visual system	85	77	$140.53	$118.41
99213 Established patient office or other outpatient visit, typically 15 minutes	71	50	$101.34	$83.95
92083 Exam of visual field with extended testing	69	62	$120.00	$58.08
92020 Examination of cornea and iris using lens device and slit lamp	67	65	$50.00	$26.02
92133 Imaging of optic nerve	64	54	$59.00	$32.25
92202 Extended exam of the back part of the eye with optic nerve drawing	49	48	$40.00	$14.71
92134 Imaging of retina	38	36	$59.00	$36.40
66984 Removal of cataract with insertion of lens	26	16	$201.92	$96.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$188.25	$155.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	175	$130.15	$121.20
92250 Photography of the retina	254	253	$83.13	$34.86
92014 Established patient complete exam of visual system	166	138	$124.97	$119.26
92202 Extended exam of the back part of the eye with optic nerve drawing	104	95	$40.00	$15.04
99213 Established patient office or other outpatient visit, typically 15 minutes	100	70	$95.00	$85.55
92020 Examination of cornea and iris using lens device and slit lamp	89	85	$47.13	$26.63
92083 Exam of visual field with extended testing	83	71	$96.81	$58.09
92133 Imaging of optic nerve	82	67	$59.00	$32.18
92134 Imaging of retina	61	57	$59.00	$36.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$168.00	$157.40
66984 Removal of cataract with insertion of lens	33	21	$181.06	$100.39
83861 Microfluid analysis of tears	32	12	$60.00	$22.24
92004 New patient complete exam of visual system	14	14	$150.00	$141.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	269	265	$78.00	$37.09
92014 Established patient complete exam of visual system	218	190	$125.00	$120.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	123	$129.87	$123.56
99213 Established patient office or other outpatient visit, typically 15 minutes	126	95	$94.52	$86.59
92083 Exam of visual field with extended testing	103	82	$95.00	$59.68
92202 Extended exam of the back part of the eye with optic nerve drawing	96	85	$40.00	$15.33
92020 Examination of cornea and iris using lens device and slit lamp	85	84	$47.00	$26.79
92133 Imaging of optic nerve	72	57	$59.00	$33.05
92134 Imaging of retina	50	48	$59.00	$37.05
66984 Removal of cataract with insertion of lens	47	34	$204.79	$99.26
92004 New patient complete exam of visual system	27	27	$150.00	$143.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$168.00	$159.56
66984 Removal of cataract with insertion of lens	19	16	$269.74	$97.44
76514 Ultrasound scan of cornea to determine thickness	15	13	$25.00	$10.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	279	226	$125.04	$121.32
92250 Photography of the retina	218	214	$78.00	$42.99
92202 Extended exam of the back part of the eye with optic nerve drawing	96	90	$40.00	$15.56
92083 Exam of visual field with extended testing	92	82	$95.00	$60.23
92020 Examination of cornea and iris using lens device and slit lamp	68	68	$47.00	$26.87
92012 Established patient problem focused exam of visual system	66	55	$85.00	$84.93
92133 Imaging of optic nerve	62	56	$59.00	$33.57
92134 Imaging of retina	45	39	$59.00	$37.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$168.00	$156.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$110.00	$104.29
66984 Removal of cataract with insertion of lens	17	12	$222.06	$103.05
92132 Imaging of front third of eye	16	16	$59.00	$27.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	450	348	$124.97	$119.43
92250 Photography of the retina	369	361	$78.00	$47.32
92083 Exam of visual field with extended testing	213	160	$95.00	$60.00
92012 Established patient problem focused exam of visual system	212	127	$85.00	$83.16
92226 Examination of eye by ophthalmoscope with retinal drawing	158	140	$48.89	$47.43
83516 Analysis of substance using immunoassay technique	152	54	$40.00	$12.55
92134 Imaging of retina	149	119	$59.00	$37.13
83861 Microfluid analysis of tears	138	52	$60.00	$22.03
92133 Imaging of optic nerve	119	98	$59.00	$32.83
92020 Examination of cornea and iris using lens device and slit lamp	117	114	$47.00	$26.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$168.00	$154.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$110.00	$102.28
92132 Imaging of front third of eye	57	51	$59.00	$26.98
66984 Removal of cataract with insertion of lens	43	26	$175.00	$114.55
92225 Examination of eye by ophthalmoscope with retinal drawing	34	34	$55.59	$49.00
68761 Closure of tear duct opening using plug	32	13	$170.00	$81.96
76514 Ultrasound scan of cornea to determine thickness	24	21	$25.00	$11.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	507	424	$124.88	$118.74
92250 Photography of the retina	340	335	$78.00	$52.25
92134 Imaging of retina	206	155	$71.14	$38.05
92083 Exam of visual field with extended testing	196	147	$95.00	$59.70
92012 Established patient problem focused exam of visual system	187	135	$85.00	$82.65
92226 Examination of eye by ophthalmoscope with retinal drawing	186	170	$48.39	$46.21
92020 Examination of cornea and iris using lens device and slit lamp	133	126	$47.00	$25.24
92133 Imaging of optic nerve	120	95	$71.30	$32.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	76	$110.00	$98.01
83516 Analysis of substance using immunoassay technique	82	27	$40.00	$13.96
92225 Examination of eye by ophthalmoscope with retinal drawing	81	81	$60.00	$51.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$168.00	$153.12
92004 New patient complete exam of visual system	64	64	$144.45	$141.32
83861 Microfluid analysis of tears	62	27	$60.00	$22.03
99213 Established patient office or other outpatient visit, typically 15 minutes	45	34	$75.78	$68.55
66984 Removal of cataract with insertion of lens	42	25	$175.00	$119.01
76514 Ultrasound scan of cornea to determine thickness	33	31	$31.36	$13.21
92082 Exam of visual field with intermediate testing	13	13	$65.00	$45.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	11	11	$125.00	$116.51

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18004037

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

300004258 (IN)

Hospital & Practice Group Affiliations

Midwest Eye Consultants Pc

310 S Oak St, Winchester, IN 473942236

Phone: 7655842020

Midwest Eye Consultants Pc

825 N Lincoln St, Greensburg, IN 472401330

Phone: 8126637222

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. L'erin Garner , OD

Optometrist

NPI 1720216278

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location August 15, 2018

Registered at 3510 S WESTERN AVE, MARION, IN 46953 (Tel: 7656626594)

✅

NPI Profile Active September 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2017

Registered at 3510 S WESTERN AVE, MARION, IN 469534205 (Tel: 7656626594)

📍

Updated Business Mailing Address September 11, 2017

Registered at PO BOX 549, WABASH, IN 469920549 (Tel: 2605699550)

👤

Provider Name / Credentials Updated September 11, 2017

Recorded as MADISON SPRUNGER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Optometrist (License #18004037 in IN)

✅

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2017

Registered at 3510 S WESTERN AVE, MARION, IN 469534205 (Tel: 7656626594)

📍

Updated Business Mailing Address June 19, 2017

Registered at PO BOX 549, WABASH, IN 469920549 (Tel: 2605699550)

👤

Provider Name / Credentials Updated June 19, 2017

Recorded as MADISON SPRUNGER, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Optometrist (License #18004037 in IN)

🟢

Initial NPI Registration & Enumeration June 19, 2017

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: 1831629146

Entity Type:

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

Enumeration Date: June 19, 2017

Last Update: August 15, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 549

Wabash, IN 469920549

Phone: 2605699550

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.