DALE GENE PARKS (MD) – Obstetrics & Gynecology Physician, NPI 1093729477
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DALE GENE PARKS (MD)
12555 W JEFFERSON BLVD STE 303
LOS ANGELES, CA 900667032
Phone: (310) 822-5066
Fax: (310) 827-4420
Type: Location
Admiralty Way, Marina del Rey, Los Angeles County, California, 90292, United States
SUITE 303
MARINA DEL REY, CA 90292
Phone: (310) 822-5066
Fax: (310) 827-4420
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($183).
Total Amount
$631
General + Research + Ownership
Payments
26
Total payment records
General Amount
$631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2010-09-18
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 |
|---|---|---|---|---|
| I20100918000126 | I | Obstetrics/Gynecology | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 50 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 56 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 40 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 14 | 14 | $0 |
Insurance plans in this area (ZIP 90066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Emergency Medicine | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Emergency Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | TX | |
| - | CA | |
| N E U R O S U R G E R Y | CA |
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