MARK SPARROW M.D.
NPI 1265871164
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256(317) 579-2150(317) 579-2130 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 13, 2021, Jul 11, 2019, Feb 20, 2019 (3 updates tracked since 2019).

About Mark Sparrow M.d. NPPES

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

MARK SPARROW M.D. (NPI 1265871164) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (01081498A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1265871164
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK SPARROWCredential: M.D.
Location Address9998 CROSSPOINT BLVD STE 200Indianapolis, IN 46256-3307
Mailing Address9998 Crosspoint Blvd Ste 200Indianapolis, IN 46256-3307 · (317) 579-2150 · Fax (317) 579-2130
Fax(317) 579-2130
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateJanuary 13, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1265871164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01081498A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9998 CROSSPOINT BLVD STE 200, Indianapolis, IN 46256

Secondary Practice Location 1

Location 14646 N Marine DrChicago, IL 60640-5759 · Phone (773) 878-8700

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

Mark Sparrow M.d. 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 ID4880827146
PECOS Enrollment IDI20190418001531
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 31

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
396 services391 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
269 services260 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
173 services173 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
163 services163 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
148 services143 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
142 services126 patients

Hospital Affiliations CMS Care Compare 5

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Radiology (Diagnostic Radiology)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Radiology (Diagnostic Radiology)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Nurse Practitioner (Family)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256
Radiology Practitioner Assistant
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256

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 Mark Sparrow's NPI number?

The NPI number for Mark Sparrow is 1265871164. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Mark Sparrow located?

Mark Sparrow practices at 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256. The listed phone number is (317) 579-2150.

What is Mark Sparrow's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Sparrow enrolled in Medicare?

Yes. Mark Sparrow 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 Mark Sparrow accept?

Health plans from CareSource list Mark Sparrow 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 Mark Sparrow affiliated with any hospitals?

According to CMS data, Mark Sparrow is affiliated with Community Howard Regional Health Inc., Community Hospital East, Community Hospital Of Anderson And Madison County, Community Hospital South, Inc. and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Mark Sparrow was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.