DR. BOYD EDWIN SPRENKLE MD
NPI 1306808159
Internal Medicine - Pulmonary Disease in Cumberland, MD
About Dr. Boyd Edwin Sprenkle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BOYD EDWIN SPRENKLE MD (NPI 1306808159) is an individual pulmonary disease provider in Cumberland, Maryland, licensed in Maryland (D0054946) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Temple University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Boyd Edwin Sprenkle 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.
Medicare Billing Reassignments
3Medicare enrollment records show Boyd Sprenkle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 210 clinicians in this Medicare group
Keyser, WV 26726
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: Potomac Valley Hospital Of W Va, Inc
- Also billed through NPI 1912979873 (West Virginia)
- 147 clinicians in this Medicare group
Grantsville, MD 21536
- Reassigned Medicare billing, Maryland enrollment
- 120 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Garrett Regional Medical Center
Acute Care Hospitals · Oakland, MDWestern Maryland Regional Medical Center
Acute Care Hospitals · Cumberland, MDWest Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVHampshire Memorial Hospital
Critical Access Hospitals · Romney, WVPotomac Valley Hospital
Critical Access Hospitals · Keyser, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 25
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
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 Boyd Sprenkle's NPI number?
The NPI number for Boyd Sprenkle is 1306808159. It was assigned to this individual provider in the NPPES registry on April 6, 2006.
Where is Boyd Sprenkle located?
Boyd Sprenkle practices at 12502 Willowbrook Rd Suite #280, Cumberland, MD 21502. The listed phone number is (240) 964-8750.
What is Boyd Sprenkle's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Boyd Sprenkle enrolled in Medicare?
Yes. Boyd Sprenkle 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.
Which organizations bill Medicare for Boyd Sprenkle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Boyd Sprenkle reassigns Medicare benefits to 3 organizations: Upmc Western Maryland Corporation (Cumberland, MD), Potomac Valley Hospital Of Wv, Inc. (Keyser, WV) and Specialty Physicians Of Garrett County, LLC (Grantsville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Boyd Sprenkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Boyd Sprenkle accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Boyd Sprenkle 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 Boyd Sprenkle affiliated with any hospitals?
According to CMS data, Boyd Sprenkle is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc, Hampshire Memorial Hospital and Potomac Valley Hospital.
When was this NPI record last updated?
The NPPES record for Boyd Sprenkle was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Boyd Edwin Sprenkle, MD · NPI 1306808159
Pulmonary Disease physician in Cumberland, Maryland. Individual provider, active in the CMS NPPES registry since April 6, 2006.
## Identity
- **NPI:** 1306808159 (Entity type: Individual)
- **Enumerated:** April 6, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** D0054946 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 12502 WILLOWBROOK RD, SUITE #280, Cumberland, MD 21502-6491
- **Phone:** (240) 964-8750 · **Fax:** (240) 964-8699
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Upmc Western Maryland Corporation (NPI 1285779884, Cumberland, MD); Potomac Valley Hospital Of Wv, Inc. (NPI 1578305256, Keyser, WV); Specialty Physicians Of Garrett County, LLC (NPI 1881361442, Grantsville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** June 8, 2010
- **Other identifiers:** Medicare PIN K936 (MD); Other 567B 768841-03 (MD); Medicaid 774141301 (MD); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1306808159) · Data from the CMS NPPES public registry.