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DR. KATHY JEAN SPARACINO MD
NPI 1255441705
Family Medicine in Decatur, AL

Active since August 30, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 01D0892688 · Waiver
1107 14TH AVE SE, SUITE G100, DECATUR, AL 35601(256) 340-5150(256) 340-5153 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathy Jean Sparacino Md NPPES

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

DR. KATHY JEAN SPARACINO MD (NPI 1255441705) is an individual family medicine provider in Decatur, Alabama, licensed in Tennessee (MD41025) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 3, 2026, and is a graduate of Meharry Medical College School Of Medicine (1990).

NPPES Registry Identity

NPI1255441705
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHY JEAN SPARACINOCredential: MD
Location Address1107 14TH AVE SE, SUITE G100Decatur, AL 35601-3309
Mailing Address1107 14th Avenue Se, Suite G100Decatur, AL 35601 · (256) 340-5150 · Fax (256) 340-5153
Phone(256) 340-5150
Fax(256) 340-5153
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1990
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 12, 2015
✔ NPI 1255441705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · MD41025✔ Licensed in AL · 16163
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.

1107 14TH AVE SE, Decatur, AL 35601
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF08395AL
Medicaid009938191AL
Other891-09587AL · Bcbs Of Alabama

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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. Kathy Jean Sparacino 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 ID5991883050
PECOS Enrollment IDI20080415000693
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0892688

Kathy Sparacino MD · Decatur, AL
Active · expires Oct 3, 2026
CLIA Number01D0892688
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorKathy J. Sparacino MD
Laboratory Phone(256) 340-5150
Laboratory LocationKathy Sparacino MD2828 Highway 31 South, Suite 110, Decatur, AL 35603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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 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.
188 services100 patients
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.
81 services46 patients
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.
69 services69 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
68 services68 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.
67 services67 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 5

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

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$4.49 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims1,560 services$0.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier13 claims780 services$0.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers27 claims27 services$25.11 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 16

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

MS. TAMERON D HARVELL FNP-BC
Nurse Practitioner (Family)
1107 14TH AVE SE, PLAZA II SUITE #200
DECATUR, AL 35601
Morgan County (256) 308-9889
MRS. KARI LYN GRIFFITH CRNP
Nurse Practitioner (Family)
1107 14TH AVE SE
DECATUR, AL 35601
Morgan County (256) 340-5150
M. NEEL ROBERTS, M.D., P.C.
Internal Medicine
1107 14TH AVE SE, SUITE 300
DECATUR, AL 35601
Morgan County (256) 341-0715
DECATUR MORGAN GASTROENTEROLOGY
Clinic/Center (Medical Specialty)
1107 14TH AVE SE, SUITE 330
DECATUR, AL 35601
Morgan County (256) 353-4949
DECATUR GENERAL HOSPITAL
Urology
1107 14TH AVE SE, SUITE G200
DECATUR, AL 35601
Morgan County (256) 353-0605
DECATUR MORGAN WOMEN'S CENTER
Nurse Practitioner (Family)
1107 14TH AVE SE, SUITE 320
DECATUR, AL 35601
Morgan County (256) 351-7309
DECATUR MORGAN INTERNAL MEDICINE
Internal Medicine
1107 14TH AVE SE, SUITE 330
DECATUR, AL 35601
Morgan County (256) 341-0715
JANICE W NEAL MD
Internal Medicine
1107 14TH AVE SE, SUITE G400
DECATUR, AL 35601
Morgan County (256) 309-5622

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 Kathy Sparacino's NPI number?

The NPI number for Kathy Sparacino is 1255441705. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kathy Sparacino located?

Kathy Sparacino practices at 1107 14th Ave SE Suite G100, Decatur, AL 35601. The listed phone number is (256) 340-5150.

What is Kathy Sparacino's specialty?

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

Is Kathy Sparacino enrolled in Medicare?

Yes. Kathy Sparacino 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.

Does Kathy Sparacino hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0892688) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kathy Sparacino accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Kathy Sparacino 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 Kathy Sparacino was last updated on November 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.