BLAKE BUTLER SPARKS (M.D.) – Plastic Surgery Physician, NPI 1194112870

BLAKE BUTLER SPARKS (M.D.) is a healthcare provider. based in Galveston, Texas. specializing in Plastic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 55738 (KY). The NPI Number for BLAKE BUTLER SPARKS (M.D.) is 1194112870

Main info

Female
Name
BLAKE BUTLER SPARKS (M.D.)
NPI
1194112870
Phone
(409) 772-8119
Address
301 UNIVERSITY BLVD
Enumeration Date
21 April 2015
Last Update Date
11 September 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for BLAKE BUTLER SPARKS (M.D.)

  • 301 UNIVERSITY BLVD

    GALVESTON, TX 775550724

    Phone: (409) 772-8119

    Fax: (409) 772-1872

    Type: Mailing

  • 113 WATERWORKS WAY STE 300

    IRVINE, CA 926183174

    Phone: (949) 653-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,072.

Total Amount is formed as General ($1,072) + Research ($0) + Ownership ($0) = $1,072.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: RTI SURGICAL, INC ($386).

Total Amount

$1,072

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,072

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-01-30

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
I20240130001609IPlastic And Reconstructive SurgeryKYTBD

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 77555)

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Reviews

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Frequently asked questions

Where can patients find BLAKE BUTLER SPARKS (M.D.)'s NPI?
You can confirm BLAKE BUTLER SPARKS (M.D.) with NPI 1194112870; it appears in the national provider directory.
Is BLAKE BUTLER SPARKS (M.D.)'s NPI currently valid?
The extract we use shows BLAKE BUTLER SPARKS (M.D.) as active.
Does BLAKE BUTLER SPARKS (M.D.) list a primary specialty?
If you are matching referrals, note Plastic Surgery Physician for BLAKE BUTLER SPARKS (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place BLAKE BUTLER SPARKS (M.D.)?
The snapshot lists Galveston, Texas for BLAKE BUTLER SPARKS (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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