MR. LEE BRADFORD SPARKS (MD) – Internal Medicine Physician, NPI 1629079678

MR. LEE BRADFORD SPARKS (MD) is a healthcare provider. based in Greenville, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35030 (KY). The NPI Number for MR. LEE BRADFORD SPARKS (MD) is 1629079678

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEE BRADFORD SPARKS (MD)
NPI
1629079678
Phone
(270) 338-5777
Address
480 HOPKINSVILLE ST
Enumeration Date
2 August 2005
Last Update Date
20 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2703385777
Graduation Year
1998 (28 years ago)
PAC ID
6608879531
Group Practice PAC ID
5193769370
Professional Enrollment ID
I20081108000058
Address ID
KY423451124GR480XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for MR. LEE BRADFORD SPARKS (MD)

  • 480, Hopkinsville Street, Greenville, Muhlenberg County, Kentucky, 42345, United States

    GREENVILLE, KY 423451124

    Phone: (270) 338-5777

    Fax: (270) 338-5765

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $2,013.

Total Amount is formed as General ($2,013) + Research ($0) + Ownership ($0) = $2,013.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ORTHO DEVELOPMENT CORPORATION ($1,136).

Total Amount

$2,013

General + Research + Ownership

Payments

56

Total payment records

General Amount

$2,013

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2008-11-08

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
I20081108000058IInternal MedicineKYTBD

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
80305Testing for presence of drug, read by direct observation4444$0
View full utilization report →

Insurance plans in this area (ZIP 42345)

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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: 5193769370View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is MR. LEE BRADFORD SPARKS (MD) listed with a National Provider Identifier?
Yes — MR. LEE BRADFORD SPARKS (MD) has NPI 1629079678 on file in the registry.
Is there an active status for MR. LEE BRADFORD SPARKS (MD)?
For scheduling context, MR. LEE BRADFORD SPARKS (MD) is shown as active in the registry.
What kind of doctor is MR. LEE BRADFORD SPARKS (MD)?
MR. LEE BRADFORD SPARKS (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. LEE BRADFORD SPARKS (MD)?
Travel planning: use Greenville, Kentucky as the reference point for MR. LEE BRADFORD SPARKS (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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