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TIMOTHY NOBLE SPARTA PA-C
NPI 1376857011
Physician Assistant in Millville, DE

Active since August 05, 2010PECOS Enrolled
35247 ATLANTIC AVE UNIT 1, MILLVILLE, DE 19967(302) 829-1015(302) 819-1016 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Noble Sparta Pa-c NPPES

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

TIMOTHY NOBLE SPARTA PA-C (NPI 1376857011) is an individual physician assistant in Millville, Delaware, licensed in Delaware (C50000957) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1376857011
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY NOBLE SPARTACredential: PA-C
Location Address35247 ATLANTIC AVE UNIT 1Millville, DE 19967-6912
Mailing Address35247 Atlantic Ave Unit 1Millville, DE 19967-6912 · (302) 829-1015 · Fax (302) 829-1016
Phone(302) 829-1015
Fax(302) 819-1016
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 5, 2010
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1376857011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in DE · C50000957✔ Licensed in MD · C0004266
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

35247 ATLANTIC AVE UNIT 1, Millville, DE 19967
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Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 543-7536 · Fax (410) 543-7272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Noble Sparta Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981883675
PECOS Enrollment IDI20150406002189
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 10

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.
301 services127 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.
150 services96 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
102 services101 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.
63 services63 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.
51 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19967 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES

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

OCEAN VIEW PRIMARY CARE LLC
General Practice
35247 ATLANTIC AVE UNIT 1
MILLVILLE, DE 19967
Sussex County (848) 702-1688

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 Timothy Sparta's NPI number?

The NPI number for Timothy Sparta is 1376857011. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Timothy Sparta located?

Timothy Sparta practices at 35247 Atlantic Ave Unit 1, Millville, DE 19967. The listed phone number is (302) 829-1015.

What is Timothy Sparta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Sparta enrolled in Medicare?

Yes. Timothy Sparta is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Sparta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Timothy Sparta 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 Timothy Sparta affiliated with any hospitals?

According to CMS data, Timothy Sparta is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Timothy Sparta was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.