Active NPI 1851543185 Individual Practitioner Female Practitioner

Dawn Elizabeth Sperling , NP

Nurse Practitioner • Marion, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dawn Sperling, NP is a certified Nurse Practitioner practicing in Marion, OH. With approximately 18 years of clinical experience since completing medical education in 2008, Dawn Sperling delivers high-quality medical care to the local community at 1040 DELAWARE AVE.

Dawn Sperling is affiliated with Marion Area Physicians Llc 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, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1040 Delaware Ave

Marion, OH 433026416

Telephone 7403837896

Fax 7403837067

Associated Practice Facility / Clinic

🏢 Marion Hospitalists Services, Llc Facility NPI 1356520449

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marion, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +7.2 yrs vs City Avg

City Avg: 10.8 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

13 Specialists

Practicing in Marion, OH (4294 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sperling (18 Years) 18 Yrs

Marion Specialty Average (10.8 Years) 10.8 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	202	135	$187.00	$78.76
99213 Established patient office or other outpatient visit, typically 15 minutes	132	97	$126.00	$69.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$316.00	$42.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	68	$76.00	$53.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	15	$45.00	$11.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	79	12	$10.00	$1.25
G0008 Administration of influenza virus vaccine	36	35	$36.00	$30.43
90662 Influenza vaccine split virus, preservative free	35	34	$197.00	$80.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$439.00	$119.51
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	11	11	$31.00	$13.73

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	339	152	$187.00	$78.00
99213 Established patient office or other outpatient visit, typically 15 minutes	113	83	$126.00	$66.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	74	$76.00	$49.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$316.00	$41.52
G0008 Administration of influenza virus vaccine	41	39	$36.00	$29.36
90662 Influenza vaccine split virus, preservative free	38	36	$197.00	$71.66
93000 Routine ekg using at least 12 leads including interpretation and report	26	24	$43.00	$11.79
83036 Hemoglobin A1C level	22	17	$27.00	$9.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$794.00	$264.75
G0009 Administration of pneumococcal vaccine	17	17	$43.00	$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	437	192	$187.00	$78.96
99213 Established patient office or other outpatient visit, typically 15 minutes	107	84	$126.00	$66.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	64	$75.52	$52.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$316.00	$41.19
G0008 Administration of influenza virus vaccine	38	38	$36.00	$27.98
90662 Influenza vaccine split virus, preservative free	35	35	$197.00	$68.45
93000 Routine ekg using at least 12 leads including interpretation and report	25	23	$43.00	$11.78
83036 Hemoglobin A1C level	19	16	$27.00	$9.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$104.00	$43.59
0124A Fee covid-19 vac 13 res	11	11	$80.00	$36.91

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	421	198	$187.00	$107.99
99213 Established patient office or other outpatient visit, typically 15 minutes	115	84	$126.00	$76.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	63	$75.76	$45.86
G0008 Administration of influenza virus vaccine	62	62	$36.00	$16.19
90662 Influenza vaccine split virus, preservative free	60	60	$197.00	$65.26
99441 Telephone medical discussion with physician, 5-10 minutes	46	38	$76.00	$46.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$316.00	$110.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	19	$18.00	$7.06
G0009 Administration of pneumococcal vaccine	17	17	$43.00	$16.18
0003A Adm sarscov2 30mcg/0.3ml 3rd	17	17	$80.00	$37.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	11	$41.00	$18.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$161.00	$125.42

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	317	180	$187.00	$90.71
99213 Established patient office or other outpatient visit, typically 15 minutes	104	78	$126.00	$62.39
99441 Telephone medical discussion with physician, 5-10 minutes	84	62	$75.38	$37.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	36	$75.57	$37.02
G0008 Administration of influenza virus vaccine	44	44	$36.00	$16.06
90662 Influenza vaccine split virus, preservative free	41	41	$179.63	$60.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$316.00	$96.78
G0009 Administration of pneumococcal vaccine	13	13	$43.00	$15.97
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$126.00	$62.47

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	446	214	$187.00	$88.55
99213 Established patient office or other outpatient visit, typically 15 minutes	171	120	$126.00	$60.31
G0008 Administration of influenza virus vaccine	69	66	$36.00	$15.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	16	$45.00	$13.48
90662 Influenza vaccine split virus, preservative free	59	56	$114.00	$54.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$316.00	$94.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	47	$76.00	$36.51
G0009 Administration of pneumococcal vaccine	22	22	$43.00	$15.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$161.00	$111.51
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$39.00	$13.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$439.00	$127.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	375	201	$126.00	$59.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	151	$187.00	$87.75
G0008 Administration of influenza virus vaccine	61	60	$36.00	$19.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$316.00	$95.00
90662 Influenza vaccine split virus, preservative free	56	55	$114.00	$52.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	46	$76.00	$35.76
G0009 Administration of pneumococcal vaccine	23	23	$43.00	$19.30
90670 Pneumococcal vaccine for injection into muscle	17	17	$348.00	$199.57
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$39.00	$13.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	577	241	$126.00	$59.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	76	$187.00	$87.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$316.00	$93.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	50	$76.00	$35.22
G0009 Administration of pneumococcal vaccine	15	15	$43.00	$23.76

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH COA.10340-NP

(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

Commercial Insurance / Payer ID Uhc

311098079 (OH)

Hospital & Practice Group Affiliations

Marion Area Physicians Llc

1050 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Marion Area Physicians Llc

1040 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Arvinder Bhinder , MD

Internal Medicine - Medical Oncology

NPI 1023130341

Doctor of Medicine (M.D.)

Amy Cooper , NP

Nurse Practitioner - Family

NPI 1043984289

Nurse Practitioner

Dr. Veena Gaddam , MD

Internal Medicine

NPI 1346256930

Doctor of Medicine (M.D.)

Megan Conniff , PA-C

Physician Assistant

NPI 1407293624

Physician Assistant (Certified)

Dr. Ashok Gandhi , MD

Allergy & Immunology

NPI 1669430021

Doctor of Medicine (M.D.)

Brooke Lowe , CNP

Nurse Practitioner - Family

NPI 1699304303

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2016

Registered at 1040 DELAWARE AVE, MARION, OH 433026416 (Tel: 7403837896)

📍

Updated Business Mailing Address September 07, 2016

Registered at # L-3652, COLUMBUS, OH 432606052 (Tel: 7403837927)

👤

Provider Name / Credentials Updated September 07, 2016

Recorded as DAWN SPERLING, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2016

Nurse Practitioner (License #COA.10340-NP in OH)

🟢

Initial NPI Registration & Enumeration October 17, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1851543185

Entity Type:

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

Enumeration Date: October 17, 2008

Last Update: December 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

# L-3652

Columbus, OH 432606052

Phone: 7403837927

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.