Dr. Brian Sponseller, MD
3073 White Mountain Hwy, North Conway, NH 03860 • +1-566-555-7418
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & North Conway Percentiles
NPI #1891984647 • CBSA Regional • Family Practice
Within the North Conway, NH (CBSA local) Family Practice cohort, Dr. Brian Sponseller, MD with sub-specialty concentration in 70 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 90.66th NH percentile (+1.38σ Z-score) based on 3,303 billed procedures for 523 patients.
Fee-schedule auditing of NPI 1891984647 highlights 947 annual claims for 99214 (50th North Conway percentile; $93–$128 self-pay corridor) plus 699 encounters under 99213 and 271 under G0439.
Self-pay new patient consultations with Dr. Sponseller (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.71/5 modern protocol openness score across 10 patient logs.
Credentialed as an MD specialist with 12 years post-graduation experience since completing medical school at an LCME/COCA institution (2014), Dr. Sponseller coordinates 70 Active CMS HCPCS Codes workups from 3073 White Mountain Hwy (+1-566-555-7418).
Compared against North Conway, NH Family Practice peers
3,303 annual services across 523 beneficiaries
Standard deviations from NH Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 947 | 50th | $93 – $128 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 699 | 54th | $71 – $98 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 271 | 45th | $107 – $147 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 203 | 47th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 135 | 50th | $128 – $176 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (70 HCPCS billing breadth) | 1,048 | 50th | $84 – $122 |
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Dr. Brian Sponseller, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sponseller National Provider Identifier | NPI #1891984647 (MD) | CMS NPPES Registry (03860) |
| Dr. Sponseller North Conway CMS Volume Rank | 50.00th Pct (3,303 CMS svcs; Z +1.383σ) | CMS Medicare Part B (NH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (North Conway, NH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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