Individual provider Active NPI

Boyd Edwin Sprenkle, MD

  • Pulmonary Disease Physician
  • Cumberland, MD
National Provider Identifier
1306808159
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0054946 Issued in MD
Practice address
12502 Willowbrook Rd
Suite #280
Cumberland, MD 21502-6491
Phone
(240) 964-8750
Fax
(240) 964-8699
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D0054946 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd
Suite #280
Cumberland, MD 21502-6491

Mailing address

12502 Willowbrook Road
Suite #280
Cumberland, MD 21502-6494
Phone (240) 964-8750

Other identifiers 3

IdentifierTypeStateIssuer
774141301MedicaidMD
K307-0014OtherDCGHMSI
567B 768841-03OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070802000603 MD Practitioner - Pulmonary Disease 4183715352 Reassigns benefits to 2 organizations
I20200306000168 WV Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4183715352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Temple University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

251 N 4TH St
Specialty Physicians of Garrett County
Oakland, MD 21550-1375
Phone (301) 533-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0054946MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc CurrentSince Feb 3, 2020 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Feb 3, 2020 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Oct 23, 2025 Accepting new patients
Upmc Western Maryland Corporation Pulmonary Disease CurrentSince Oct 1, 2009 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2021 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 1, 2009 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients
Potomac Valley Hospital of W VA, Inc Past Accepting new patients
Western Maryland Health System Corporation Past Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients
Upmc Western Maryland Health Services, LLC Pulmonary Disease Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients
Scott Watkins MD PC Past Accepting new patients

Locations

600 Memorial Ave
Ste 400
Cumberland, MD 21502
Phone (301) 723-4193

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

375 Pythian Ave
Oakland, MD 21550
Phone (301) 334-0585

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

10261 Frankfort Hwy
Fort Ashby, WV 26719
Phone (304) 597-3600

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1306808159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK ROAD",
            "address_2": "SUITE #280",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026494",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE #280",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENKLE",
        "first_name": "BOYD",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0054946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774141301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "K307-0014",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "567B  768841-03",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.