CHARLES KEYU PARK (M.D.) – Psychiatry Physician, NPI 1235214131
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
39 ADDICTION MEDICINE in CO
Provider Addresses for CHARLES KEYU PARK (M.D.)
10099 RIDGEGATE PKWY STE 420
LONE TREE, CO 801245536
Phone: (303) 800-6463
Fax: (303) 500-6585
Type: Location
8158, East 5th Avenue, Denver, Denver County, Colorado, 80230, United States
SUITE 200
DENVER, CO 802306444
Phone: (720) 209-8537
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $414.
Total Amount is formed as General ($414) + Research ($0) + Ownership ($0) = $414.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($121).
Total Amount
$414
General + Research + Ownership
Payments
16
Total payment records
General Amount
$414
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $121 |
| Braeburn Inc. | $74 |
| Otsuka America Pharmaceutical, Inc. | $65 |
| Indivior Inc. | $52 |
| ABBVIE INC. | $47 |
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: 2010-06-09
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 |
|---|---|---|---|---|
| I20100609000647 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 15 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 95 | 13 | $0 |
Insurance plans in this area (ZIP 80124)
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