2026 NPPES data Family Medicine Physician NPI 1255339305 M.D.
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Charles Sparrow, M.D.

Family Medicine Physician in Richmond, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
7K
Medicare Part D claims · 451 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
58 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Charles Sparrow, M.D. filed 6,589 Medicare Part D claims in 2023 as a Family Medicine Physician in Richmond, Virginia, prescribing 88% generic.

7K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Charles Sparrow, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,589 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

Charles Sparrow, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Charles Sparrow, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/12/2005

NPI 1255339305

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,589 93% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Charles Sparrow, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 2660 NEW MARKET RD, Richmond, VA, 23231, with a listed phone of (804) 795-1144. NPI 1255339305 was issued on 07/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sparrow most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 6,589 prescription claims written by this provider, covering 451 Medicare beneficiaries and totaling roughly $642K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2660 NEW MARKET RD
Richmond, VA 23231

Provider Details

NPI 1255339305
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/12/2005

Hospital and facility affiliations

Facilities where Charles Sparrow, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Privia Medical Group, LLC
Quinton, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Charles Sparrow, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

Charles Sparrow, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 6,589 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

6,589
Total Claims
$642K
Total Drug Cost
451
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,248
Total Day Supply
449,266
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$520K
Generic Drug Cost
$118K
Opioid Claims
236 (3.6% rate)
Antibiotic Claims
83

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.07
Gender Split
56% female / 44% male
Age Distribution
<65: 39, 65-74: 218, 75-84: 151, 85+: 43

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Charles Sparrow, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
413
Amlodipine Besylate
345
Levothyroxine Sodium
214
Lisinopril
185
Metformin Hcl Er
Metformin Hcl
181
Rosuvastatin Calcium
181
Hydrochlorothiazide
179
Losartan Potassium
137
Alprazolam
118
Gabapentin
118

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How Charles Sparrow, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Charles Sparrow, M.D.'s 6,589 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Sparrow.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Charles Sparrow, M.D.'s specialty?
Charles Sparrow, M.D. specializes in Family Medicine Physician and practices in Richmond, Virginia. Credentials: M.D..
How much does Charles Sparrow, M.D. prescribe under Medicare Part D?
In 2023, Charles Sparrow, M.D. wrote 6,589 Medicare Part D claims totaling $642K in drug costs for 451 beneficiaries.
Where is Charles Sparrow, M.D. located?
Charles Sparrow, M.D. is located at 2660 NEW MARKET RD, Richmond, VA, 23231. Phone: (804) 795-1144.
What is Charles Sparrow, M.D.'s NPI number?
Charles Sparrow, M.D.'s National Provider Identifier (NPI) is 1255339305, issued on 07/12/2005.
Does Charles Sparrow, M.D. prescribe more brand-name or generic drugs?
Charles Sparrow, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $520K in brand drug costs.
Does Charles Sparrow, M.D. prescribe opioids?
Yes, Charles Sparrow, M.D. had 236 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Charles Sparrow, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Charles Sparrow, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charles Sparrow, M.D. accept Medicare?
Charles Sparrow, M.D. appears in CMS Medicare data with 6,589 Part D claims and 451 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charles Sparrow, M.D.'s credentials?
Charles Sparrow, M.D.'s NPI is 1255339305 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology