MATTHEW NATHAN SPARKS (PA-C) – Physician Assistant, NPI 1063273019

MATTHEW NATHAN SPARKS (PA-C) is a healthcare provider. based in Marshall, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17731 (TX). The NPI Number for MATTHEW NATHAN SPARKS (PA-C) is 1063273019

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW NATHAN SPARKS (PA-C)
NPI
1063273019
Phone
(903) 927-3782
Address
PO BOX 1326
Enumeration Date
17 January 2024
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037911110
Graduation Year
2023 (3 years ago)
PAC ID
6901244094
Group Practice PAC ID
8820038565
Professional Enrollment ID
I20240409002676
Address ID
TX755033536TE1400XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MATTHEW NATHAN SPARKS (PA-C)

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

  • 1400 COLLEGE DR

    TEXARKANA, TX 755033536

    Phone: (903) 791-1110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($43).

Total Amount

$123

General + Research + Ownership

Payments

6

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2024-04-09

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
I20240409002676IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75671)

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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: 8820038565View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YLA
Family PracticeTX
Nurse PractitionerAR
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Mental Health CounselorAR
Mental Health CounselorAR

Reviews

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Frequently asked questions

What is the standard ID for MATTHEW NATHAN SPARKS (PA-C) in the U.S.?
In the U.S., MATTHEW NATHAN SPARKS (PA-C) is identified by NPI 1063273019.
Does the public listing show MATTHEW NATHAN SPARKS (PA-C) as active?
MATTHEW NATHAN SPARKS (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MATTHEW NATHAN SPARKS (PA-C) provide?
MATTHEW NATHAN SPARKS (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MATTHEW NATHAN SPARKS (PA-C)?
MATTHEW NATHAN SPARKS (PA-C) is associated with Marshall, Texas in the same public data insurers reference.
Why is information missing for MATTHEW NATHAN SPARKS (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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