PAUL PARK (MD) – Ophthalmology Physician, NPI 1295140309
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 OPHTHALMOLOGY in IL
Provider Addresses for PAUL PARK (MD)
7600 W COLLEGE DR STE 9
PALOS HEIGHTS, IL 60463
Phone: (708) 361-0010
Fax: (708) 361-4047
Type: Location
7421 N MILWAUKEE AVE
NILES, IL 607143707
Phone: (773) 775-0811
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $488.
Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($63).
Total Amount
$488
General + Research + Ownership
Payments
22
Total payment records
General Amount
$488
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $63 |
| ABB Con-Cise Optical Group LLC | $62 |
| Bausch & Lomb Americas Inc. | $44 |
| Amgen Inc. | $40 |
| Genentech USA, Inc. | $36 |
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: 2018-07-14
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 |
|---|---|---|---|---|
| I20180714000003 | I | Ophthalmology | IL | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 529 | 312 | $0 |
| 92014 | Established patient complete exam of visual system | 304 | 290 | $0 |
| 92134 | Imaging of retina | 228 | 206 | $0 |
| 92004 | New patient complete exam of visual system | 157 | 157 | $0 |
| 92083 | Exam of visual field with extended testing | 129 | 97 | $0 |
Insurance plans in this area (ZIP 60463)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| O P H T H A L M O L O G Y | IL |
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