Dr. Mark Sprague, MD
24 Park Street, Pittsfield, MA 01201 • +1-570-555-8265
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Pittsfield Percentiles
NPI #1003942699 • CBSA Regional • Orthopedic Surgery
Anchored in Pittsfield, MA 01201, Dr. Mark Sprague, MD (NPI 1003942699) logged 720 annual procedures (focused low-volume boutique caseload (0th Pittsfield percentile), 5.47th MA percentile, -0.70σ) with sub-specialty concentration in 25 Active CMS HCPCS Codes.
Dr. Sprague's longitudinal care intensity (4.5 billed units per patient across 161 individuals) centers on 99213 (157 annual units) and 20610 ($141–$193 cash range).
Self-pay new patient consultations with Dr. Sprague (CPT 99204 GPCI-adjusted benchmark) estimate around $224.00 (community reported average: $224.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.77/5 modern protocol openness score across 26 patient logs.
Spanning 14 years of clinical practice following 2012 graduation from medical training, Dr. Mark Sprague integrates 25 Active CMS HCPCS Codes diagnostics for Pittsfield metro patients.
Compared against Pittsfield, MA Orthopedic Surgery peers
720 annual services across 161 beneficiaries
Standard deviations from MA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 157 | 12th | $132 – $181 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 118 | 12th | $141 – $193 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 83 | 12th | $79 – $108 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 48 | 12th | $189 – $260 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 31 | 12th | $1220 – $1672 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (25 HCPCS billing breadth) | 284 | 0th | $149 – $216 |
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Dr. Mark Sprague, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sprague National Provider Identifier | NPI #1003942699 (MD) | CMS NPPES Registry (01201) |
| Dr. Sprague Pittsfield CMS Volume Rank | 0.00th Pct (720 CMS svcs; Z -0.702σ) | CMS Medicare Part B (MA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pittsfield, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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