Doctor profile · Federal record

Dr. Gary Sprouse, M.D.

Internal Medicine Physician · Chester, MD

  • NPI 1255443727
  • MIPS 16.0 / 100 · 2023
  • 20 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2108 Didonato Dr
Chester, MD 216192628
(410) 643-6205
fax (410) 643-6945

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
April 14, 2011
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Maryland #D32036
Medicaid
MD #379261700

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255443727. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
8,578
Distinct HCPCS
10
Medicare allowed
$978,526
HCPCS Description Services Patients Avg allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 7,043 547 $107
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 558 273 $154
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 354 339 $182
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 271 43 $128
99214 Established patient office or other outpatient visit, 30-39 minutes 123 59 $129
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 91 83 $134
99316 Nursing facility discharge management, more than 30 minutes 39 37 $121
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 37 26 $75
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow 25 11 $105
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 21 21 $53

In context: peer comparison

Among 2 peers in this city , average services per provider: 360. This provider delivers 24× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
5,346
Patients
911
Total drug cost
$216,223
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 552 107 $11,671
Furosemide Generic 499 97 $3,999
Quetiapine Fumarate Generic 424 53 $12,969
Levothyroxine Sodium Generic 408 68 $6,454
Gabapentin Generic 394 70 $8,908
Eliquis (Apixaban) Brand 372 46 $122,376
Lisinopril Generic 341 60 $3,279
Amlodipine Besylate Generic 333 63 $4,286
Potassium Chloride Generic 323 61 $7,740
Trazodone Hcl Generic 318 59 $3,885

Frequently asked questions

Auto-generated from federal data
What is Dr. Gary Sprouse's medical specialty?
Dr. Gary Sprouse practices Internal Medicine Physician in Chester, MD.
Where does Dr. Gary Sprouse practice?
Dr. Gary Sprouse practices at 2108 Didonato Dr, Chester, MD 216192628. Office phone: 4106436205.
What is Dr. Gary Sprouse's NPI?
Dr. Gary Sprouse's National Provider Identifier (NPI) is 1255443727, issued by NPPES.
What procedures does Dr. Gary Sprouse commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent nursing facility care with high level of medical decision making (HCPCS 99310); Initial nursing facility care with high level of medical decision making (HCPCS 99306). Source: CMS Medicare Physician & Other Practitioners file.