PARK THETFORD CHITTOM (M.D.) – Internal Medicine Physician, NPI 1164413308
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 (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 50 Open Payments records for all available years, with a total value of $849.
Total Amount is formed as General ($849) + Research ($0) + Ownership ($0) = $849.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($287).
Total Amount
$849
General + Research + Ownership
Payments
50
Total payment records
General Amount
$849
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $287 |
| Novo Nordisk Inc | $91 |
| ABBVIE INC. | $52 |
| Mylan Specialty L.P. | $49 |
| Shield Therapeutics Inc | $48 |
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: 2010-10-26
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 |
|---|---|---|---|---|
| I20101026000318 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 402 | 162 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 376 | 163 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 332 | 141 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 194 | 38 | $0 |
| 83036 | Hemoglobin a1c level | 158 | 97 | $0 |
Insurance plans in this area (ZIP 36701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | AL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 563 | 446 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Internal Medicine | AL |
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