Active NPI 1821393786 Individual Practitioner Male Practitioner

John Morgan Sproul , PA

Physician Assistant • Fishersville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Sproul, PA is a certified Physician Assistant practicing in Fishersville, VA. With approximately 14 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 2012, John Sproul delivers high-quality medical care to the local community at 57 BEAM LN STE 205.

John Sproul is affiliated with University Of Virginia Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof 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

57 Beam Ln Ste 205

Fishersville, VA 229392350

Telephone 4342437121

Fax 4342437122

Associated Practice Facility / Clinic

🏢 University Of Virginia Physicians Group Facility NPI 1821545294

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fishersville, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +4.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

76 Specialists

Practicing in Fishersville, VA (4432 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sproul (14 Years) 14 Yrs

Fishersville Specialty Average (9.7 Years) 9.7 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	400	283	$335.00	$79.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	181	136	$473.00	$117.33
99213 Established patient office or other outpatient visit, typically 15 minutes	85	78	$238.00	$53.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$579.00	$147.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$458.00	$108.66

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	76	74	$335.00	$81.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	54	$473.00	$120.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	28	$203.00	$66.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	37	$202.00	$60.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$289.60	$87.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	217	20	$81.50	$32.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	162	88	$214.25	$87.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	155	151	$419.25	$170.28
99239 Hospital discharge day management, more than 30 minutes	56	56	$221.50	$90.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	30	$148.25	$61.12
99220 Hospital observation care, typically 70 minutes	20	20	$382.25	$154.41
99217 Hospital observation care on day of discharge	14	14	$150.50	$61.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$285.25	$115.49
99219 Hospital observation care, typically 50 minutes	13	13	$279.25	$114.00

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	245	150	$214.25	$90.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	27	$81.50	$34.19
99239 Hospital discharge day management, more than 30 minutes	89	88	$221.50	$92.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	77	$419.25	$174.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	57	$148.25	$62.78
99217 Hospital observation care on day of discharge	18	18	$150.50	$62.99
99220 Hospital observation care, typically 70 minutes	15	15	$382.25	$160.54

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	130	100	$214.25	$89.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	71	$148.25	$62.53
99239 Hospital discharge day management, more than 30 minutes	82	82	$221.50	$92.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	28	$81.50	$33.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$419.25	$173.85

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	135	95	$214.25	$88.74
99239 Hospital discharge day management, more than 30 minutes	64	63	$221.50	$91.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	46	$148.25	$61.92
99217 Hospital observation care on day of discharge	12	12	$150.50	$62.30

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	93	75	$214.25	$87.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	22	$148.25	$60.61

Medical Specialties & State Licenses

CMS Verified: 2023-08-31

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110007872

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License VA 0110007872

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Hospital & Practice Group Affiliations

University Of Virginia Physicians Group

57 Beam Ln, Fishersville, VA 229392350

University Of Virginia Physicians Group

1215 Lee St, Charlottesville, VA 229080816

Secondary Practice Locations

1215 Lee St

Charlottesville, VA 229080816

Phone: 4349242101

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Afshan Alvi , MD

Internal Medicine - Cardiovascular Disease

NPI 1104158567

Doctor of Medicine (M.D.)

Sarah Mcgill , NP

Nurse Practitioner - Family

NPI 1114256609

Nurse Practitioner

Evelyn Ahlfield , PA

Physician Assistant

NPI 1114368107

Physician Assistant

Dr. John Zadrozny , MD

Internal Medicine - Cardiovascular Disease

NPI 1255401147

Doctor of Medicine (M.D.)

Ashley Simon , AG-ACNP

Nurse Practitioner

NPI 1316597172

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Jaime Escanellas , MD

Internal Medicine - Cardiovascular Disease

NPI 1831176080

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location August 31, 2023

Registered at 57 BEAM LN STE 205, FISHERSVILLE, VA 229392350 (Tel: 4342437121)

👤

Provider Name / Credentials Updated August 31, 2023

Recorded as JOHN SPROUL, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Internal Medicine (License #0110007872 in VA)

📍

Updated Practice Location January 26, 2022

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816 (Tel: 4349242101)

📍

Updated Business Mailing Address January 26, 2022

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

📍

Updated Practice Location June 27, 2018

Registered at 939 CAROLINE ST, PORT ANGELES, WA 98362 (Tel: 3604177400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2018

Physician Assistant

📍

Updated Practice Location June 08, 2018

Registered at 923 GEORGIANA ST, PORT ANGELES, WA 98362 (Tel: 3605659250)

📍

Updated Business Mailing Address June 08, 2018

Registered at PO BOX 850, PORT ANGELES, WA 983620146

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active September 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2012

Registered at 923 GEORGIANA ST, PORT ANGELES, WA 983623911 (Tel: 3605659250)

📍

Updated Business Mailing Address September 13, 2012

Registered at 923 GEORGIANA ST, PORT ANGELES, WA 983623911

👤

Provider Name / Credentials Updated September 13, 2012

Recorded as JOHN SPROUL, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2012

Physician Assistant

🟢

Initial NPI Registration & Enumeration January 24, 2011

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: 1821393786

Entity Type:

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

Enumeration Date: January 24, 2011

Last Update: August 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.