Physician

Jeffrey O Sparks, MD

According to 2025 Medicare claims, Jeffrey Sparks, MD (NPI: 1811958168) practices internal medicine in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27215-8700. Sparks is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and Triad HealthCare Network, LLC. (ACO ID: D0209), participating under both the MSSP and REACH models.

Sparks' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 290 traditional Medicare patients, billed 6,392 HCPCS/CPT codes, and received $148,477 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 25,394 prescription claims across 1,189 beneficiaries totaling $1,425,018 in drug costs, led by Eliquis (Apixaban). DME data shows 468 claims. Open Payments data shows 1 records totaling $18. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$94K$187K2015 Medicare payment: $187,458 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $164,227 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $170,127 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $155,488 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $186,758 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $164,180 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $176,790 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $166,581 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $159,583 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $148,477 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155888,331$187,458
20165167,701$164,227
20175168,104$170,127
20185097,608$155,488
20194487,255$186,758
20203907,173$164,180
20214006,895$176,790
20223646,935$166,581
20233216,550$159,583
20242906,392$148,477

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$735K$1.5M2015 Drug cost: $1,191,206 (USD; Tot_Drug_Cst)2016 Drug cost: $1,346,497 (USD; Tot_Drug_Cst)2017 Drug cost: $1,377,587 (USD; Tot_Drug_Cst)2018 Drug cost: $1,450,379 (USD; Tot_Drug_Cst)2019 Drug cost: $1,446,568 (USD; Tot_Drug_Cst)2020 Drug cost: $1,416,284 (USD; Tot_Drug_Cst)2021 Drug cost: $1,323,525 (USD; Tot_Drug_Cst)2022 Drug cost: $1,372,227 (USD; Tot_Drug_Cst)2023 Drug cost: $1,470,773 (USD; Tot_Drug_Cst)2024 Drug cost: $1,425,018 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201599124,616$1,191,206
20161,04025,497$1,346,497
20171,06125,736$1,377,587
20181,07725,676$1,450,379
20191,08824,944$1,446,568
20201,12424,603$1,416,284
20211,11124,437$1,323,525
20221,14624,579$1,372,227
20231,15824,194$1,470,773
20241,18925,394$1,425,018

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$12K$24K2015 Medicare payment: $17,362 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,761 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $12,340 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $13,733 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $12,423 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $23,794 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $17,023 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $17,640 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $21,775 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $20,086 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015141545$17,362
2016114512$14,761
2017128453$12,340
2018114481$13,733
201992427$12,423
2020123505$23,794
202175292$17,023
202291281$17,640
2023167473$21,775
2024115468$20,086

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more265640$77
80053Blood test, comprehensive group of blood chemicals258611$10
36415Insertion of needle into vein for collection of blood sample261745$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count260637$8
81001Manual urinalysis test with examination using microscope, automated258583$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban22011,640$220,631
MounjaroTirzepatide572,716$97,804
OzempicSemaglutide772,920$89,133
JardianceEmpagliflozin793,642$69,755
XareltoRivaroxaban302,640$48,593

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A7031Face mask interface, replacement for full face mask, eachNN/R28$2,905
A7030Full face mask used with positive airway pressure device, eachNN/R32$2,893
E0601Continuous positive airway pressure (cpap) deviceY1279$2,281
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN1539$1,953
A4604Tubing with integrated heating element for use with positive airway pressure deviceN2054$1,889

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$18PFIZER INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jeffrey O. Sparks, MD?

Tedicare shows public-source Medicare data for Jeffrey O. Sparks, MD (NPI 1811958168), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jeffrey O. Sparks, MD have ACO affiliation data?

Jeffrey O. Sparks, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to Jeffrey O. Sparks, MD?

Jeffrey O. Sparks, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Jeffrey O. Sparks, MD have Open Payments data?

Jeffrey O. Sparks, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.