Active NPI 1396720124 Individual Practitioner Female Practitioner

Paula Sprow , NP

Nurse Practitioner • Defiance, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Paula Sprow, NP is a certified Nurse Practitioner practicing in Defiance, OH. With approximately 24 years of clinical experience since completing medical education in 2002, Paula Sprow delivers high-quality medical care to the local community at 1250 RALSTON AVE.

Paula Sprow is affiliated with Promedica Central Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 Ralston Ave
Suite 204

Defiance, OH 435125311

Telephone 4197828332

Fax 4197826855

Associated Practice Facility / Clinic

🏢 Defiance Regional Medical Center Facility NPI 1083713770

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Defiance, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +11.4 yrs vs City Avg

City Avg: 12.6 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Defiance, OH (4294 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sprow (24 Years) 24 Yrs

Defiance Specialty Average (12.6 Years) 12.6 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	75	51	$127.00	$74.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	40	$179.00	$106.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$325.00	$108.59
36415 Insertion of needle into vein for collection of blood sample	40	36	$14.00	$8.65
G0009 Administration of pneumococcal vaccine	27	27	$37.00	$30.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$621.00	$288.68
83036 Hemoglobin A1C level	20	14	$38.00	$9.52
G0008 Administration of influenza virus vaccine	13	13	$37.00	$30.39
90653 Vaccine for influenza for injection into muscle	11	11	$125.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	54	$107.35	$74.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	35	$148.31	$105.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$229.00	$106.58
36415 Insertion of needle into vein for collection of blood sample	37	30	$9.00	$8.40
G0008 Administration of influenza virus vaccine	11	11	$33.00	$29.36

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	60	44	$148.57	$106.62
99213 Established patient office or other outpatient visit, typically 15 minutes	51	44	$107.76	$75.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$229.00	$108.92
36415 Insertion of needle into vein for collection of blood sample	29	28	$9.00	$2.96
G0008 Administration of influenza virus vaccine	12	12	$33.00	$27.95
0124A Fee covid-19 vac 13 res	11	11	$100.00	$36.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$100.00	$70.25

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	71	43	$148.24	$108.60
99213 Established patient office or other outpatient visit, typically 15 minutes	64	49	$107.31	$76.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$229.00	$111.03
36415 Insertion of needle into vein for collection of blood sample	35	30	$9.00	$3.00
G0008 Administration of influenza virus vaccine	14	14	$33.00	$16.19
90662 Influenza vaccine split virus, preservative free	13	13	$62.00	$62.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$107.34	$61.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$229.00	$96.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$148.00	$90.82
36415 Insertion of needle into vein for collection of blood sample	19	19	$9.00	$2.99
G0008 Administration of influenza virus vaccine	16	16	$33.00	$16.07
90662 Influenza vaccine split virus, preservative free	15	15	$62.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	60	$102.63	$61.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$192.68	$95.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$148.63	$89.60
36415 Insertion of needle into vein for collection of blood sample	21	19	$11.86	$2.84
G0008 Administration of influenza virus vaccine	15	15	$33.00	$15.75
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$42.48	$31.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	64	$92.00	$59.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$212.48	$94.96
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	23	23	$37.56	$30.94
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	11	11	$42.56	$35.66
G0008 Administration of influenza virus vaccine	11	11	$36.64	$19.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	63	$92.00	$59.66
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	22	22	$36.13	$31.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$217.00	$93.93
G0008 Administration of influenza virus vaccine	14	14	$37.00	$22.06
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	12	12	$42.56	$35.86
90662 Influenza vaccine split virus, preservative free	12	12	$54.00	$48.05

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH NP-07120

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2441290 (OH)

Commercial Insurance / Payer ID Anthem

000000379388 (OH)

Hospital & Practice Group Affiliations

Promedica Central Physicians

2109 Hughes Dr, Toledo, OH 436065102

Phone: 4192912003

Promedica Central Physicians

2901 N Reynolds Rd, Toledo, OH 43606

Phone: 4195787700

Promedica Central Physicians

1250 Ralston Ave, Defiance, OH 435125308

Practice Associates & Co-Workers

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

3 Associated Practitioners

Bethany Graham , CNP

Nurse Practitioner

NPI 1225345549

Certified Nurse Practitioner

Dr. Rosemary Reiter , MD

Family Medicine

NPI 1336133487

Doctor of Medicine (M.D.)

Dr. Joshua Lucas , MD

Family Medicine

NPI 1427495092

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2012

Registered at 1250 RALSTON AVE, SUITE 204, DEFIANCE, OH 435125311 (Tel: 4197828332)

📍

Updated Business Mailing Address July 24, 2012

Registered at 1250 RALSTON AVE, SUITE 204, DEFIANCE, OH 435125311 (Tel: 4197828332)

👤

Provider Name / Credentials Updated July 24, 2012

Recorded as PAULA SPROW, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2012

Nurse Practitioner (License #NP-07120 in OH)

🟢

Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Paula Sprow. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396720124

Entity Type:

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

Enumeration Date: December 14, 2005

Last Update: November 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1250 Ralston Ave, Suite 204

Defiance, OH 435125311

Phone: 4197828332

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.