DR. BOYD EDWIN SPRENKLE MD
NPI 1306808159
Internal Medicine - Pulmonary Disease in Cumberland, MD

Q: 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.

Q: What is Boyd Sprenkle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: 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.

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

12502 WILLOWBROOK RD, SUITE #280, CUMBERLAND, MD 21502(240) 964-8750(240) 964-8699 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1306808159

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. BOYD EDWIN SPRENKLECredential: MD

Location Address12502 WILLOWBROOK RD, SUITE #280Cumberland, MD 21502-6491

Mailing Address12502 Willowbrook Road, Suite #280Cumberland, MD 21502-6494 · (240) 964-8750 · Fax (240) 964-8699

Phone(240) 964-8750

Fax(240) 964-8699

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1988

Enumeration DateApril 6, 2006

Last NPPES UpdateJune 8, 2010

✔ NPI 1306808159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MD · D0054946

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

12502 WILLOWBROOK RD, Cumberland, MD 21502

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Other Identifiers 5

Medicare PINK936MD

Other567B 768841-03MD · Carefirst

Medicaid774141301MD

OtherK307-0014DC · Ghmsi

Medicare UPING29068

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. 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.

PECOS PAC ID4183715352

PECOS Enrollment IDI20070802000603, I20200306000168

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 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.

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.

125 services71 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.

59 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

16 services15 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

16 services15 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

13 services13 patients

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, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210017

Location251 North Fourth StreetOakland, MD 21550 · Garrett County

Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511315

Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County

Emergency services

Physician 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.

New Patient

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

7 suppliers25 claims46 services$1.60 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers57 claims57 services$92.28 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers54 claims117 services$35.73 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers54 claims172 services$18.88 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

5 suppliers26 claims85 services$14.56 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

8 suppliers52 claims52 services$56.81 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers66 claims66 services$19.22 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

10 suppliers103 claims103 services$15.91 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

12 suppliers162 claims585 services$2.24 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers17 claims17 services$5.98 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers35 claims35 services$11.70 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers265 claims269 services$18.19 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers51 claims59 services$41.83 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers192 claims192 services$871.07 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier11 claims11 services$779.67 avg. paid by Medicare

Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery E0560

DME-Other DME · category DE000N

2 suppliers15 claims15 services$15.93 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers52 claims59 services$13.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers129 claims129 services$5.91 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

9 suppliers148 claims155 services$35.60 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier12 claims12 services$12.42 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers378 claims380 services$96.42 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers85 claims85 services$35.51 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

9 suppliers43 claims13,021 services$0.03 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

10 suppliers112 claims13,746 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

16 suppliers146 claims146 services$24.79 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.

MARK F. WILT P. A.

Physician Assistant

12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502

Allegany County (240) 964-8724

SHANNON SPRENKLE CRNP

Nurse Practitioner

12502 WILLOWBROOK RD, SUITE 280
CUMBERLAND, MD 21502

Allegany County (240) 964-8750

KRISTEN DAWN EWING PA-C

Physician Assistant (Medical)

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8740

JACOB MULLAN FNP

Nurse Practitioner

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8944

WESTERN MARYLAND HEALTH SYSTEM CORPORATION

Dietitian, Registered

12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502

Allegany County (240) 964-8342

CARMEN RACHAL REGISTERED DIETITIAN

Dietitian, Registered

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-2310

EMILY TEETS NP

Nurse Practitioner

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-7000

JEAN H RUIZ NP

Nurse Practitioner (Psychiatric/Mental Health)

12502 WILLOWBROOK RD, STE 380
CUMBERLAND, MD 21502

Allegany County (240) 964-8585

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.

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.