PARK THETFORD CHITTOM II (M.D.) – Internal Medicine Physician, NPI 1093796047
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,215 INTERNAL MEDICINE in AL
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Provider Addresses for PARK THETFORD CHITTOM II (M.D.)
509, Parkman Avenue, Selma, Dallas County, Alabama, 36701, United States
P.O. BOX 530
SELMA, AL 367015734
Phone: (334) 874-9064
Fax: (334) 874-2633
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 76 Open Payments records for all available years, with a total value of $978.
Total Amount is formed as General ($978) + Research ($0) + Ownership ($0) = $978.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($331).
Total Amount
$978
General + Research + Ownership
Payments
76
Total payment records
General Amount
$978
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071011000163 | I | Internal Medicine | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 499 | 225 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 394 | 206 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 333 | 208 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 266 | 45 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 238 | 83 | $0 |
Insurance plans in this area (ZIP 36701)
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