ERIC SPARKS – Student in an Organized Health Care Education/Training Program, NPI 1215387717

ERIC SPARKS is a healthcare provider. based in Lawton, Oklahoma. specializing in EMERGENCY MEDICINE. The NPI Number for ERIC SPARKS is 1215387717

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ERIC SPARKS
NPI
1215387717
Phone
Not provided
Address
3401 W GORE BLVD
Enumeration Date
15 June 2016
Last Update Date
15 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055151000
Graduation Year
2016 (10 years ago)
PAC ID
0244598977
Group Practice PAC ID
2769395185
Professional Enrollment ID
I20171229000346
Address ID
OK730729749NO3300XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for ERIC SPARKS

  • 3401 W GORE BLVD

    LAWTON, OK 735056332

    Phone:

    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 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
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: 2018-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171229000346IEmergency MedicineOKTBD
I20180416000570IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making191189$0
99285Emergency department visit with high level of medical decision making125125$0
99283Emergency department visit with low level of medical decision making7373$0
99291Critical care, first 30-74 minutes5252$0
99282Emergency department visit with straightforward medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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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: 2769395185View full group profile
NameSpecialtyState
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK

Reviews

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Frequently asked questions

How is ERIC SPARKS identified in CMS data?
CMS-hosted NPPES data lists ERIC SPARKS with NPI 1215387717.
Can I rely on ERIC SPARKS being an active provider?
As of the registry snapshot, ERIC SPARKS is marked active.
What taxonomy line describes ERIC SPARKS?
For research purposes, treat ERIC SPARKS as Student in an Organized Health Care Education/Training Program in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ERIC SPARKS on a map?
Expect Lawton, Oklahoma as a primary anchor for ERIC SPARKS unless the record lists multiple sites.
Why does ERIC SPARKS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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