Mallory Sprague, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

301774 Issued in NY

Practice address

49 Lawrence Ave
Potsdam, NY 13676-1889

Phone

(315) 261-5550

NPI assigned

Jun 8, 2016

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Canton-Potsdam Medical Practice PLLCGroup PAC ID 6507090883, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Services of Northern New York Inc Chha Home health agency, Potsdam, NY, CCN 337256
• Northern Lights Home Health Care Home health agency, Ogdensberg, NY, CCN 337442
• Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
• SLHS Massena, Inc Hospital, Massena, NY, CCN 331322
• Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
• Clifton-Fine Hospital Hospital, Star Lake, NY, CCN 330799

Merit-based Incentive Payment System (MIPS)

Final score

98.56 of 100Reported as apm

Quality

87.76

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

98.56 of 100Reported as apm

Quality

87.76

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msprague338597@direct.rochesterregional.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Medicare reassignment Care Compare group NPD
• Canton-Potsdam Medical Practice PLLC

  • Multi-Specialty Clinic/Center
  • Canton, NY
  • NPI 1760821417
  Medicare reassignment Care Compare group NPD
• Canton-Potsdam Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Potsdam, NY
  • NPI 1114104445
  NPD
• Canton Potsdam Hospital

  • Physical Therapy Clinic/Center
  • Canton, NY
  • NPI 1770703522
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Care Compare affiliation
• Carthage Area Hospital Inc

  dba Claxton-Hepburn Medical Campus

  • Critical Access Hospital
  • Ogdensburg, NY
  • NPI 1669236261
  Care Compare affiliation
• Clifton-Fine Healthcare Corporation

  dba Clifton-Fine Hospital

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Care Compare affiliation
• Health Services of Northern New York

  • Home Health Agency
  • Potsdam, NY
  • NPI 1952407033
  Care Compare affiliation
• Massena Hospital Inc

  • Critical Access Hospital
  • Massena, NY
  • NPI 1972604460
  Care Compare affiliation
• Northern Lights Health Care Partnership Inc

  dba Northern Lights Home Health Care

  • Home Health Agency
  • Ogdensburg, NY
  • NPI 1881037604
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1366891632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAWRENCE AVE",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761889",
            "telephone_number": "315-261-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "MALLORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "301774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Snyder, RN
• Erin Southwick
• Cherish Spencer, MSN, CNM
• Jennie Spooner
• Kim L. Sprague, RPH
• St Lawerence Oral and Maxilliofacial Surgery
• St Lawrence Radiology Assoc PC
• St. Lawrence Cardiology
• St. Lawrence Oral and Maxillofacial Surgery Associates PC
• St. Lawrence Orthopedics Specialists PC

• Family Medicine Physician in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.