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D HILTON SPARKS MD
NPI 1467485425
Surgery in Wabash, IN

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
8 JOHN KISSINGER DRIVE, WABASH, IN 46992(260) 569-2321(260) 569-2918 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2022, Jul 9, 2021, Jul 11, 2018 (3 updates tracked since 2018).

About D Hilton Sparks Md NPPES

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

D HILTON SPARKS MD (NPI 1467485425) is an individual surgery provider in Wabash, Indiana, licensed in Indiana (01057943A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Huntington Hospital, and is a graduate of University Of Arkansas College Of Medicine (1987).

NPPES Registry Identity

NPI1467485425
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameD HILTON SPARKSCredential: MD
Location Address8 JOHN KISSINGER DRIVEWabash, IN 46992-1648
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 569-2321
Fax(260) 569-2918
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1987
Enumeration DateJuly 9, 2006
Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1467485425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01057943A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8 JOHN KISSINGER DRIVE, Wabash, IN 46992
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Other Identifiers 1

Medicaid200449870IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

D Hilton Sparks 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 ID143201814
PECOS Enrollment IDI20040527001096
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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
30 services30 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.
25 services25 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.
25 services23 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
14 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46992 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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 2

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

DR. CATHERINE E REESE MD
Obstetrics & Gynecology
8 JOHN KISSINGER DRIVE
WABASH, IN 46992
Wabash County (260) 569-2901
PARKVIEW WABASH HOSPITAL, INC.
Clinic/Center (Rural Health)
8 JOHN KISSINGER DRIVE
WABASH, IN 46992
Wabash County (260) 563-3131

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 D Sparks's NPI number?

The NPI number for D Sparks is 1467485425. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is D Sparks located?

D Sparks practices at 8 John Kissinger Drive, Wabash, IN 46992. The listed phone number is (260) 569-2321.

What is D Sparks's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is D Sparks enrolled in Medicare?

Yes. D Sparks 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 D Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list D Sparks 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 D Sparks affiliated with any hospitals?

According to CMS data, D Sparks is affiliated with Parkview Huntington Hospital and Parkview Wabash Hospital, Inc.

When was this NPI record last updated?

The NPPES record for D Sparks was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.