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DR. JAY L SPARKS MD
NPI 1013057488
Family Medicine in Springfield, MO

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
3231 S NATIONAL AVE, SUITE 220, SPRINGFIELD, MO 65807(417) 820-7450(417) 820-7455 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay L Sparks Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY L SPARKS MD (NPI 1013057488) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (104280) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1989).

NPPES Registry Identity

NPI1013057488
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAY L SPARKSCredential: MD
Location Address3231 S NATIONAL AVE, SUITE 220Springfield, MO 65807-7304
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Phone(417) 820-7450
Fax(417) 820-7455
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMay 2, 2013
✔ NPI 1013057488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 104280
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3231 S NATIONAL AVE, Springfield, MO 65807
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Other Identifiers 7

Medicare UPING19143
Medicare PIN210013268MO
Other98450AR · Ark Blue Shield
Medicaid208134619MO
Medicare PIN310593230MO
Other126737MO · Mo Blue Shield
Medicaid154945001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay L Sparks Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032219043
PECOS Enrollment IDI20070705000159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
234 services212 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
195 services195 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services121 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
85 services85 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers18 claims55 services$5.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims11 services$0.92 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers27 claims27 services$39.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier14 claims84 services$17.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers22 claims22 services$57.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers16 claims16 services$19.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK H. GRIMM MD
Internal Medicine (Pulmonary Disease)
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-5696
DR. JOHN H BROWN MD
Family Medicine
3231 S NATIONAL AVE, SUITE 280
SPRINGFIELD, MO 65807
Greene County (417) 885-0834
DR. DAN R. MOSTROM DPM
Podiatrist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-6708
FRANCES H BUNCH LD
Dietitian, Registered
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 820-2000
DR. DAN D PARK DPM
Podiatrist
3231 S NATIONAL AVE, SUITE 160
SPRINGFIELD, MO 65807
Greene County (417) 888-6708
DR. JOE EDWARD HIMES MD
Family Medicine
3231 S NATIONAL AVE, STE 115
SPRINGFIELD, MO 65807
Greene County (417) 888-6790
MRS. MICHELLE S. EPPERSON RPH
Pharmacist
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 841-0116
DR. TERESA A. OLSEN MD
Internal Medicine
3231 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 888-5658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Sparks's NPI number?

The NPI number for Jay Sparks is 1013057488. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Jay Sparks located?

Jay Sparks practices at 3231 S National Ave Suite 220, Springfield, MO 65807. The listed phone number is (417) 820-7450.

What is Jay Sparks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jay Sparks enrolled in Medicare?

Yes. Jay Sparks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jay Sparks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Jay Sparks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jay Sparks affiliated with any hospitals?

According to CMS data, Jay Sparks is affiliated with Cox Medical Centers and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Jay Sparks was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.