JEFFREY RYAN SPARKS D.O.
NPI 1780935197
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Macomb, IL
About Jeffrey Ryan Sparks D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY RYAN SPARKS D.O. (NPI 1780935197) is an individual otolaryngology/facial plastic surgery provider in Macomb, Illinois, licensed in Illinois (036-132116) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeffrey Ryan Sparks D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Sparks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macomb, IL 61455
- Reassigned Medicare billing, Illinois enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mc Donough District Hospital
Acute Care Hospitals · Macomb, ILOther Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Sparks's NPI number?
The NPI number for Jeffrey Sparks is 1780935197. It was assigned to this individual provider in the NPPES registry on September 25, 2012.
Where is Jeffrey Sparks located?
Jeffrey Sparks practices at 515 E Grant St Suite 113, Macomb, IL 61455. The listed phone number is (309) 833-6937.
What is Jeffrey Sparks's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Jeffrey Sparks enrolled in Medicare?
Yes. Jeffrey 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.
Which organization bills Medicare for Jeffrey Sparks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Sparks reassigns Medicare benefits to Mcdonough County Hospital District (Macomb, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jeffrey Sparks affiliated with any hospitals?
According to CMS data, Jeffrey Sparks is affiliated with Mc Donough District Hospital.
When was this NPI record last updated?
The NPPES record for Jeffrey Sparks was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jeffrey Ryan Sparks, D.O. · NPI 1780935197
Otolaryngology/Facial Plastic Surgery physician in Macomb, Illinois. Individual provider, active in the CMS NPPES registry since September 25, 2012.
## Identity
- **NPI:** 1780935197 (Entity type: Individual)
- **Enumerated:** September 25, 2012
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **State license:** 036-132116 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 515 E GRANT ST, SUITE 113, Macomb, IL 61455-3368
- **Phone:** (309) 833-6937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcdonough County Hospital District (NPI 1609180082, Macomb, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2008
## Record status
- **NPPES last updated:** February 28, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1780935197) · Data from the CMS NPPES public registry.