DR. ANDREW JOON PARK (M.D.) – Spinal Cord Injury Medicine Physician, NPI 1043661770
Spinal Cord Injury Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
272 PHYSICAL MEDICINE AND REHABILITATION in CO
Provider Addresses for DR. ANDREW JOON PARK (M.D.)
12631 E 17th Ave # Msf493
Aurora, CO 800452527
Phone: (303) 724-7408
Fax: (303) 724-0863
Type: Location
12631 E 17TH AVE # MSF493
AURORA, CO 800452527
Phone: (303) 724-7408
Fax: (303) 724-0863
Type: Mailing
3425 S CLARKSON ST
ENGLEWOOD, CO 801132899
Phone: (303) 789-8220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ABBVIE INC. ($275).
Total Amount
$275
General + Research + Ownership
Payments
2
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $275 |
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: 2022-11-30
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 |
|---|---|---|---|---|
| I20221130001166 | I | Physical Medicine And Rehabilitation | CO | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 13 | $0 |
Insurance plans in this area (ZIP 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CO | |
| Physical Medicine And Rehabilitation | CO | |
| - | CO | |
| Physical Medicine And Rehabilitation | CO | |
| - | CO | |
| Physical Medicine And Rehabilitation | CO | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | CO | |
| Physical Medicine And Rehabilitation | CO | |
| - | CO |
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