Doctor profile · Federal record
Dr. Lon Sproles, D.O.
Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Emergency Medicine Physician · Emergency Medicine Physician · New York, NY
- NPI 1295078558
- Accepts Medicare
- MIPS 25.8 / 100 · 2023
- 13 yrs in practice
- Licensed in 4 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
175 W 12Th St Apt 4D
New York, NY 100118208
(214) 938-7088 - Mailing address
-
3 Century Drive
Parsippany, NJ 07054
Credentials & registration
- NPI registered
- April 2013 — 13 yrs on file
- Profile last updated
- April 17, 2025
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (4)
- Nevada #DO3786 · New York #2850541 · New Jersey #25MB09944900 · Louisiana #325880
- Medicaid
- NY #04494771
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295078558. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
743
Distinct HCPCS
5
Medicare allowed
$90,740
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 377 | 362 | $173 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 171 | 168 | $8 | |
99284 |
Emergency department visit with moderate level of medical decision making | 155 | 149 | $119 | |
99291 |
Critical care, first 30-74 minutes | 21 | 21 | $208 | |
99283 |
Emergency department visit with low level of medical decision making | 19 | 19 | $71 |
In context: peer comparison
Among 345 peers in New York Emergency Medicine Physician, average services per provider: 70. This provider delivers 11× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
98
Patients
96
Total drug cost
$388
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 27 | 27 | $114 |
| Prednisone | Generic | 22 | 20 | $52 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 16 | 16 | $59 |
| Cyclobenzaprine Hcl | Generic | 11 | 11 | $42 |
| Ondansetron Hcl | Generic | 11 | 11 | $40 |
| Ondansetron Odt (Ondansetron) | Brand | 11 | 11 | $82 |
Hospital affiliations
Frequently asked questions
What is Dr. Lon Sproles's medical specialty?
Dr. Lon Sproles practices Emergency Medicine Physician in New York, NY.
Where does Dr. Lon Sproles practice?
Dr. Lon Sproles practices at 175 W 12Th St Apt 4D, New York, NY 100118208. Office phone: 2149387088.
What is Dr. Lon Sproles's NPI?
Dr. Lon Sproles's National Provider Identifier (NPI) is 1295078558, issued by NPPES.
Does Dr. Lon Sproles accept Medicare assignment?
Yes. Dr. Lon Sproles accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lon Sproles commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.