JEFFREY D PARKS (M.D.) – Family Medicine Physician, NPI 1215044367

JEFFREY D PARKS (M.D.) is a healthcare provider. based in Belleville, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036062597 (IL). The NPI Number for JEFFREY D PARKS (M.D.) is 1215044367

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY D PARKS (M.D.)
NPI
1215044367
Phone
(618) 767-7023
Address
4315 MEMORIAL DR
Enumeration Date
24 August 2006
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6187677023
Graduation Year
1980 (46 years ago)
PAC ID
1153210596
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20090324000319
Address ID
IL622265342BE4315XDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
jparks13970@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for JEFFREY D PARKS (M.D.)

  • 4315 MEMORIAL DR

    BELLEVILLE, IL 622265342

    Phone: (618) 767-7023

    Type: Location

  • 405 Rushing Drive

    Herrin, IL 629483730

    Phone: (618) 993-3300

    Fax: (618) 998-1802

    Type: Location

  • Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • SIH Medical Group, 405, Rushing Drive, Herrin, Williamson County, Illinois, 62948, United States

    HERRIN, IL 629483730

    Phone: (618) 993-3300

    Fax: (618) 998-1802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-04-21 • Largest payer in this snapshot: Novo Nordisk Inc ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$21
View all Open Payments →|Open Payments Risk Radar →

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: 2009-03-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090324000319IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes314174$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes263213$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6052$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3939$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEFFREY D PARKS (M.D.)?
JEFFREY D PARKS (M.D.) — NPI 1215044367 — is the standard way to identify this listing.
Is JEFFREY D PARKS (M.D.) listed as active for patients and plans?
The listing shows JEFFREY D PARKS (M.D.) as active in the NPI system.
What is JEFFREY D PARKS (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for JEFFREY D PARKS (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY D PARKS (M.D.)?
JEFFREY D PARKS (M.D.)'s geographic hint is Belleville, Illinois in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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