DR. JUSTIN PARK (MD) – Family Medicine Physician, NPI 1225536816
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
183 SLEEP MEDICINE in IL
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Provider Addresses for DR. JUSTIN PARK (MD)
4870, Boulder Lane, Hoffman Estates, Palatine Township, Cook County, Illinois, 60010, United States
HOFFMAN ESTATES, IL 600105880
Phone: (847) 219-7750
Type: Mailing
Ukrainian Christian Pentecostal Church, 1044, North Francisco Avenue, Humboldt Park, West Town, Chicago, Cook County, Illinois, 60622, United States
GME OFFICE
CHICAGO, IL 606222743
Phone: (773) 360-6346
Type: Location
820 S IL ROUTE 59 STE A
BARTLETT, IL 601031694
Phone: (630) 483-5930
Type: Mailing
1664 MULKEY RD
AUSTELL, GA 301061114
Phone: (770) 422-1372
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 $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ANI Pharmaceuticals, Inc. ($118).
Total Amount
$234
General + Research + Ownership
Payments
2
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ANI Pharmaceuticals, Inc. | $118 |
| Novo Nordisk Inc | $116 |
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: 2025-10-23
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 |
|---|---|---|---|---|
| I20251023004986 | I | Sleep Medicine | GA | 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 | 185 | 116 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 62 | 62 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 42 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 60010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
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