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MATTHEW A SPARKS MD
NPI 1487754024
Internal Medicine - Nephrology in Durham, NC

Active since September 24, 2006PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew A Sparks Md NPPES

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

MATTHEW A SPARKS MD (NPI 1487754024) is an individual nephrology provider in Durham, North Carolina, licensed in North Carolina (2007-00573) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Arkansas College Of Medicine (2003).

NPPES Registry Identity

NPI1487754024
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMATTHEW A SPARKSCredential: MD
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 684-9960 · Fax (919) 684-3011
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2003
Enumeration DateSeptember 24, 2006
Last NPPES UpdateMay 3, 2012
✔ NPI 1487754024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 2007-00573
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License E-4947 (AR)
40 DUKE MEDICINE CIR, Durham, NC 27710
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Other Identifiers 7

Medicaid162843001AR
OtherT2006094AR · Tricare
Medicare UPINI65955AR
Other06080016100AR · Qualchoice
Medicare ID-Type Unspecified5N634AR
OtherP00351561AR · Railroad Medicare
Other5N634AR · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Matthew A 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 ID7719987858
PECOS Enrollment IDI20110929000514
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
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.
25 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

MARY E KLOTMAN MD
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
JONATHAN PAUL PICCINI SR. M.D., M.H.S.
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
AMY TENDLER PA
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-5057
DR. LINDSAY KING M.D.
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-7685
MICHAEL TCHEUPDJIAN FORRESTER MD, PHD
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-1300
MRS. MEGHAN AMY WARD M.S. CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Durham County (919) 684-3451
RAGHUBINDER S GILL M.D.
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Durham County (919) 684-2661
ETHAN YICHEN SONG
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-7139

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 Matthew Sparks's NPI number?

The NPI number for Matthew Sparks is 1487754024. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Matthew Sparks located?

Matthew Sparks practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Matthew Sparks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Matthew Sparks enrolled in Medicare?

Yes. Matthew 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 Matthew Sparks accept?

Health plans from Blue Cross and Blue Shield of NC list Matthew 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 Matthew Sparks affiliated with any hospitals?

According to CMS data, Matthew Sparks is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Sparks was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.