DR. DANNY RAY SPARKS MD
NPI 1225082696
Orthopaedic Surgery in Rainbow City, AL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
74.99/100
CMS Quality Rating
3102 RAINBOW DR, RAINBOW CITY, AL 35906(256) 546-8127(256) 547-6720 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 5, 2023, Jan 6, 2020 (2 updates tracked since 2020).

About Dr. Danny Ray Sparks Md NPPES

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

DR. DANNY RAY SPARKS MD (NPI 1225082696) is an individual orthopaedic surgery provider in Rainbow City, Alabama, licensed in Alabama (13891) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1976).

NPPES Registry Identity

NPI1225082696
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DANNY RAY SPARKSCredential: MD
Location Address3102 RAINBOW DRRainbow City, AL 35906-5804
Mailing Address3102 Rainbow DrRainbow City, AL 35906-5804 · (256) 546-8127 · Fax (256) 666-4690
Fax(256) 547-6720
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1976
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1225082696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AL · 13891
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3102 RAINBOW DR, Rainbow City, AL 35906

Secondary Practice Location 1

Location 11622 Church Ave SEJacksonville, AL 36265-3200 · Phone (256) 435-6221

Accepted 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. Danny Ray 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 ID2264410802
PECOS Enrollment IDI20040710000292
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 21

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services162 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
231 services88 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.
181 services115 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
118 services29 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
108 services47 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
106 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35906 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.62
Promoting Interoperability87
Improvement Activities40

Reported Quality Measures

Advance Care Plan
76%473 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
90%59 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 73% · 707 patients
Patients screened: 75% · 707 patients
69%68 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
70%1,384 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
96%94 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$64.00 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier18 claims18 services$220.91 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 9

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

Orthopaedic Surgery
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Physical Therapist
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Orthopaedic Surgery (Sports Medicine)
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Speech-Language Pathologist
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Physical Therapist
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Orthopaedic Surgery
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Occupational Therapist
3102 RAINBOW DR
RAINBOW CITY, AL 35906
Physical Therapist
3102 RAINBOW DR
RAINBOW CITY, AL 35906

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 Danny Sparks's NPI number?

The NPI number for Danny Sparks is 1225082696. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Danny Sparks located?

Danny Sparks practices at 3102 Rainbow Dr, Rainbow City, AL 35906. The listed phone number is (256) 546-8127.

What is Danny Sparks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Danny Sparks enrolled in Medicare?

Yes. Danny 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 Danny Sparks accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Danny 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.

When was this NPI record last updated?

The NPPES record for Danny Sparks was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.