DR. JOHN C SPARKS JR. M.D.
NPI 1558353177
Orthopaedic Surgery in Conroe, TX

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
63.06/100
CMS Quality Rating
1020 RIVERWOOD CT STE 340, CONROE, TX 77304(936) 539-2663 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2026, Mar 24, 2020 (2 updates tracked since 2020).

About Dr. John C Sparks Jr. M.d. NPPES

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

DR. JOHN C SPARKS JR. M.D. (NPI 1558353177) is an individual orthopaedic surgery provider in Conroe, Texas, licensed in Texas (H7351) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1986).

NPPES Registry Identity

NPI1558353177
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN C SPARKS JR.Credential: M.D.
Location Address1020 RIVERWOOD CT STE 340Conroe, TX 77304-2975
Mailing AddressPo Box 58538Webster, TX 77598-8538
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1986
Enumeration DateAugust 19, 2005
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1558353177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · H7351
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1020 RIVERWOOD CT STE 340, Conroe, TX 77304

Other Identifiers 1

Medicaid096941201TX

Accepted 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. John C Sparks Jr. M.d. 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 ID1456342146
PECOS Enrollment IDI20111230000099
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,179 services188 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
493 services206 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.
360 services209 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
355 services69 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.
329 services222 patients
X-ray of lower leg, 2 views 73590
An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.
230 services175 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

Aspire Hospital

Acute Care Hospitals · Conroe, TX
OwnershipPhysician
CMS Certification Number670093
Location2006 South Loop 336 West, Suite 500Conroe, TX 77304 · Montgomery County

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

63.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.69
Improvement Activities40
Cost17.29

Reported Quality Measures

Documentation of Current Medications in the Medical Record
94%2,599 patients3/55-star benchmark: 100%
Functional Status After Primary Total Knee Replacement
87%103 patients
Functional Status Change for Patients with Hip Impairments
0%557 patients1/55-star benchmark: 100%
Functional Status Change for Patients with Shoulder Impairments
0%160 patients1/55-star benchmark: 100%
Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy
100%203 patients5/55-star benchmark: 100%
Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation
100%203 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers12 claims12 services$41.28 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier26 claims487 services$21.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Sparks's NPI number?

The NPI number for John Sparks is 1558353177. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is John Sparks located?

John Sparks practices at 1020 Riverwood Ct Ste 340, Conroe, TX 77304. The listed phone number is (936) 539-2663.

What is John Sparks's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Sparks enrolled in Medicare?

Yes. John 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 John Sparks accept?

Health plans from UnitedHealthcare list John 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 John Sparks affiliated with any hospitals?

According to CMS data, John Sparks is affiliated with Memorial Hermann Northeast Hospital, St Luke's The Woodlands Hospital, Chi St Lukes Lakeside Hospital, Aspire Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for John Sparks was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.