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DENNIS A SPARKS M.D.
NPI 1629076153
Family Medicine in Louisville, KY

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
83.67/100
CMS Quality Rating
2831 S HURSTBOURNE PKWY, SUITE B, LOUISVILLE, KY 40220(502) 491-6963(502) 491-8398 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dennis A Sparks M.d. NPPES

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

DENNIS A SPARKS M.D. (NPI 1629076153) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (26281) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (1985).

NPPES Registry Identity

NPI1629076153
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDENNIS A SPARKSCredential: M.D.
Location Address2831 S HURSTBOURNE PKWY, SUITE BLouisville, KY 40220-4121
Mailing Address2831 S Hurstbourne Pkwy, Suite BLouisville, KY 40220-4121 · (502) 491-6963 · Fax (502) 491-8398
Phone(502) 491-6963
Fax(502) 491-8398
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 9, 2014
✔ NPI 1629076153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 26281
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2831 S HURSTBOURNE PKWY, Louisville, KY 40220
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE39220KY
Medicare ID-Type Unspecified1499902KY
Other611339454KY · Tin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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

Dennis A Sparks 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 ID3779770359
PECOS Enrollment IDI20101208000794
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 8

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 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.
366 services144 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.
318 services132 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.
114 services114 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
90 services14 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.
28 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.09
Improvement Activities40
Cost48.11

Reported Quality Measures

Advance Care Plan
85%429 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
50%48 patients3/55-star benchmark: 100%
Breast Cancer Screening
61%250 patients3/55-star benchmark: 93%
Cervical Cancer Screening
50%324 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
13%30 patients
Closing the Referral Loop: Receipt of Specialist Report
37%603 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
74%822 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
77%586 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
46%220 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%220 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%4,849 patients4/55-star benchmark: 100%
HIV Screening
22%1,060 patients2/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%2,339 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%402 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 462 patients
Patients totalRate: 14% · 477 patients
13%477 patients3/55-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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers46 claims146 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims38 services$1.03 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$30.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$65.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims42 services$22.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$1.49 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 6

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

DR. STACY BRIAN ELLISON D.M.D.
Dentist (General Practice)
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Jefferson County (502) 491-0330
CHEYANNE MICHELLE RUSH BCBA, LBA
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Jefferson County (502) 915-8343
DENNIS A SPARKS MD INC
Family Medicine
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Jefferson County (502) 491-6963
MARY DANIELLE RESCH BCBA
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Jefferson County (502) 915-8343
KPS SUITES, LLC
Clinic/Center (Pain)
2831 S HURSTBOURNE PKWY, STE A
LOUISVILLE, KY 40220
Jefferson County (502) 995-4004
BRITTANY BRAND
Behavior Analyst
2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220
Jefferson County (502) 915-8343

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 Dennis Sparks's NPI number?

The NPI number for Dennis Sparks is 1629076153. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Dennis Sparks located?

Dennis Sparks practices at 2831 S Hurstbourne Pkwy Suite B, Louisville, KY 40220. The listed phone number is (502) 491-6963.

What is Dennis Sparks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dennis Sparks enrolled in Medicare?

Yes. Dennis 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 Dennis Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Dennis 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 Dennis Sparks affiliated with any hospitals?

According to CMS data, Dennis Sparks is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Dennis Sparks was last updated on July 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.