Medicare Enrolled

Dr. Stuart Sprague, DO

Nephrology · Evanston, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1000 CENTRAL ST STE 800, Evanston, IL 60201
8475702512
Registered in NPPES since 2006
NPI: 1114947124 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Sprague from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Sprague? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Sprague

Dr. Stuart Sprague is a nephrology specialist in Evanston, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sprague performed 1,029 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Sprague received a total of $364,557 from 36 pharmaceutical and/or device companies across 484 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Sprague is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ 1,029 Medicare services $364,557 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,029
Medicare services
Bottom 34% in IL for nephrology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$124
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
399 $112 $271
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
93 $73 $165
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
93 $65 $160
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
79 $100 $229
New patient office visit, complex (60-74 min) 75 $140 $361
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
68 $301 $820
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
63 $42 $93
Home dialysis services per month
Monthly dialysis treatment provided in the patient's home for individuals aged 20 or older.
62 $258 $680
Hemodialysis, single evaluation
A dialysis procedure to filter waste from the blood, performed with a physician's evaluation.
35 $59 $275
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
22 $148 $428
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
21 $255 $680
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
19 $112 $293
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$364,557
Total received (2018-2024)
Avg $52,080/year across 7 years
Top 0% in IL for nephrology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
484
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$50,090
2023
$14,780
2022
$118,590
2021
$44,430
2020
$16,768
2019
$68,083
2018
$51,815

Payments by company (2024)

Ardelyx, Inc.
$30,627
Kyowa Kirin, Inc.
$17,073
Bayer Healthcare Pharmaceuticals Inc.
$560
Fresenius USA Marketing, Inc.
$500
OPKO Pharmaceuticals, LLC
$480
Novartis Pharmaceuticals Corporation
$200
Amgen Inc.
$193
AstraZeneca Pharmaceuticals LP
$105
CALLIDITAS THERAPEUTICS US INC.
$83
Mallinckrodt Hospital Products Inc.
$50
Travere Therapeutics, Inc.
$41
Otsuka America Pharmaceutical, Inc.
$41
Vifor Pharma, Inc.
$35
Alexion Pharmaceuticals, Inc.
$28
ANI Pharmaceuticals, Inc.
$28
Alvogen Inc
$24
Recor Medical Inc
$22
Top 3 companies account for 96.3% of 2024 payments
All-time payments by company (2018-2024) ›
Ardelyx, Inc.
$92,453
Amgen Inc.
$67,255
Bayer HealthCare Pharmaceuticals Inc.
$41,857
Horizon Therapeutics plc
$36,470
OPKO Pharmaceuticals, LLC
$34,809
Fresenius USA Marketing, Inc.
$26,574
Kyowa Kirin, Inc.
$18,348
AstraZeneca Pharmaceuticals LP
$13,565
Vifor Fresenius Medical Care Renal Pharma Ltd.
$9,170
Bayer Healthcare Pharmaceuticals Inc.
$6,865
Shire North American Group Inc
$6,146
Ultragenyx Pharmaceutical Inc.
$4,643
Keryx Biopharmaceuticals, Inc.
$3,804
Travere Therapeutics, Inc.
$605
GlaxoSmithKline, LLC.
$304
Alexion Pharmaceuticals, Inc.
$276
Novartis Pharmaceuticals Corporation
$200
Mallinckrodt Hospital Products Inc.
$179
Takeda Pharmaceuticals U.S.A., Inc.
$125
Retrophin, Inc.
$125
CALLIDITAS THERAPEUTICS US INC.
$124
Otsuka America Pharmaceutical, Inc.
$100
Vifor Pharma, Inc.
$81
Aurinia Pharma U.S., Inc.
$79
ANI Pharmaceuticals, Inc.
$72
Exeltis, USA Inc.
$51
AKEBIA THERAPEUTICS INC
$48
Relypsa, Inc.
$42
Xeris Pharmaceuticals, Inc.
$39
Calliditas Therapeutics US Inc.
$36
Alvogen Inc
$24
Recor Medical Inc
$22
Alnylam Pharmaceuticals Inc.
$20
Medtronic, Inc.
$17
Daiichi Sankyo Inc.
$17
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 55.3% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ACTHAR · Aranesp · Auryxia · BENLYSTA · CRYSVITA · Critline - Monitors · Crysvita · Cryvista · Edarbi · FARXIGA · IBSRELA · INJECTAFER · JESDUVROQ · JYNARQUE · KEVEYIS · KRYSTEXXA · Kerendia · LOKELMA · LUPKYNIS · NATPARA (PARATHYROID HORMONE) · ONYX FRONTIER · OXLUMO · PARADISE RENAL DENERVATION SYSTEM · PURIFIED CORTROPHIN GEL · Parsabiv · Prolia · RAYALDEE · Rayaldee · STRENSIQ · TARPEYO · TAVNEOS · TERIPARATIDE · TERLIVAZ · Tavneos · Thiola · ULTOMIRIS · Ultomiris · Velophoro · Velphoro · Veltassa · XPHOZAH 30 MG
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a nephrology specialist in Evanston?
Compare nephrologists in the Evanston area by procedure volume, costs, and industry payment transparency.
Browse nephrologists nearby

Geographic Context

Nephrologists in nearby ZIP areas
273
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Sprague is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Sprague experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Sprague performed 399 office visit, established patient, complex (40-54 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Sprague receive payments from pharmaceutical companies?
Yes. Dr. Sprague received a total of $364,557 from 36 companies across 484 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sprague's costs compare to other nephrologists in Evanston?
Dr. Sprague's average Medicare payment per service is $124. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sprague) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →