DR. PRESTON JEREMY SPARKS (DO) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1609187889

DR. PRESTON JEREMY SPARKS (DO) is a healthcare provider. based in Fort gordon, Georgia. specializing in THORACIC SURGERY, GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 66904 (GA). The NPI Number for DR. PRESTON JEREMY SPARKS (DO) is 1609187889

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRESTON JEREMY SPARKS (DO)
NPI
1609187889
Phone
Not provided
Address
300 HOSPITAL ROAD
Enumeration Date
23 June 2010
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
4042529063
Graduation Year
2010 (16 years ago)
PAC ID
8628378304
Group Practice PAC ID
8628253424
Professional Enrollment ID
I20220906000328
Address ID
GA300416015CU1100XDRXX402

Contacts

Secure Messaging
psparks578301@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness95
Years active:15State licenses:2Other names

395 THORACIC SURGERY in TX

Provider Addresses for DR. PRESTON JEREMY SPARKS (DO)

  • 300 HOSPITAL ROAD

    FORT GORDON, GA 30905

    Phone:

    Type: Mailing

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-2412

    Type: Location

  • 3551 Roger Brooke Dr

    Fort Sam Houston, TX 782344504

    Phone: (210) 916-2412

    Type: Location

  • 900 Gordon Ave

    Thomasville, GA 317926613

    Phone: (229) 226-0125

    Fax: (229) 226-0195

    Type: Location

  • 1003 Chafee Ave

    Augusta, GA 309045867

    Phone: (706) 721-8937

    Fax: (706) 721-7508

    Type: Location

  • 1120 15TH ST

    AUGUSTA, GA 309125867

    Phone: (706) 721-8623

    Type: Location

  • 900 GORDON AVE

    THOMASVILLE, GA 317926613

    Phone: (229) 226-0125

    Fax: (229) 226-0195

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,447.

Total Amount is formed as General ($1,447) + Research ($0) + Ownership ($0) = $1,447.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($752).

Total Amount

$1,447

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220906000328IThoracic SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6044$0
99215Established patient office or other outpatient visit, 40-54 minutes5337$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3414$0
31627Computer-assisted image-guided navigation of lung airways using an endoscope2322$0
99205New patient office or other outpatient visit, 60-74 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 30905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628253424View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PRESTON JEREMY SPARKS (DO)?
DR. PRESTON JEREMY SPARKS (DO) — NPI 1609187889 — is the standard way to identify this listing.
Is DR. PRESTON JEREMY SPARKS (DO) still practicing?
DR. PRESTON JEREMY SPARKS (DO) is currently listed as active in the public NPI registry.
What is DR. PRESTON JEREMY SPARKS (DO)'s primary classification?
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is the headline specialty for DR. PRESTON JEREMY SPARKS (DO) here. Clinical services aligned with this taxonomy classification.
Where is DR. PRESTON JEREMY SPARKS (DO) based?
DR. PRESTON JEREMY SPARKS (DO) is tied to Fort Gordon, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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