Derek T Sprunger, MD - Medicare Ophthalmology in Carmel, IN

Derek T Sprunger, MD is a medicare enrolled "Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist" physician in Carmel, Indiana. He went to Indiana University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice University Family Physicians, Inc. and his current practice location is 201 Pennsylvania Pkwy Ste 100, Carmel, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 817-1333.

Derek T Sprunger is licensed to practice in Indiana (license number 01035269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184625311.

Contact Information

Derek T Sprunger, MD
201 Pennsylvania Pkwy Ste 100,
Carmel, IN 46280-1393
(317) 817-1333
Not Available

Map and Direction




Physician's Profile

Full NameDerek T Sprunger
GenderMale
SpecialityOphthalmology
Experience39 Years
Location201 Pennsylvania Pkwy Ste 100, Carmel, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek T Sprunger attended and graduated from Indiana University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1184625311
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 11/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426032434
  • Enrollment ID: I20040616001396

Medical Identifiers

Medical identifiers for Derek T Sprunger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184625311NPI-NPPES
180016782OtherINRAILROAD MEDICARE
100132290MedicaidIN
100132290CMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 01035269 (Indiana)Secondary
207WX0110XOphthalmology - Pediatric Ophthalmology And Strabismus Specialist 01035269 (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Family Physicians, Inc.7911992797424

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek T Sprunger allows following entities to bill medicare on his behalf.
Entity NameUniversity Family Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek T Sprunger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derek T Sprunger, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: (317) 962-4792
Derek T Sprunger, MD
201 Pennsylvania Pkwy Ste 100,
Carmel, IN 46280-1393

Ph: (317) 817-1333

Reviews and Comments


Ophthalmology Doctors in Carmel, IN

Laura Estel Andaluz-scher, MD
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Phone: 317-944-0980    Fax: 317-968-1221
Dr. Kevin Enpei Lai, M.D.
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John H Abrams, MD
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Practice Location: 11455 N Meridian St, Suite 100, Carmel, IN 46032
Phone: 317-846-4223    Fax: 317-846-6063
Stephen Roth Klapper, MD FACS
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Medicare: Accepting Medicare Assignments
Practice Location: 11900 N Pennsylvania St, Suite 104, Carmel, IN 46032
Phone: 317-818-1000    Fax: 317-818-1001
Dr. Jerry Richard Myers, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 13405 Cherry Tree Rd, Carmel, IN 46033
Phone: 317-844-1436    
Dr. Mark Matson Kaehr, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 10585 N Meridian St Ste 100, Carmel, IN 46290
Phone: 317-571-1501    Fax: 317-571-4806

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.