DR. SAMUEL III PARK (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1295187136
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
52 PHYSICAL MEDICINE AND REHABILITATION in DE
Loading map...
Provider Addresses for DR. SAMUEL III PARK (M.D.)
401, Chicago, Three Oaks, Three Oaks Township, Berrien County, Michigan, 49128, United States
CHICAGO, IL 606114264
Phone: (312) 635-0973
Fax: (312) 635-0050
Type: Mailing
1240, McKee Road, Fox Hall, Dover, Kent County, Delaware, 19904, United States
DOVER, DE 199041381
Phone: (302) 672-5800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2023-12-01 • Largest payer in this snapshot: Microtransponder, Inc. ($95).
Total Amount
$183
General + Research + Ownership
Payments
2
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Microtransponder, Inc. | $95 |
| Penumbra, Inc. | $87 |
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: 2020-10-26
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 |
|---|---|---|---|---|
| I20201026003346 | I | Physical Medicine And Rehabilitation | DE | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,438 | 544 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 544 | 418 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 404 | 385 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60611)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Physical Medicine And Rehabilitation | ND | |
| Physical Medicine And Rehabilitation | TX | |
| Physical Medicine And Rehabilitation | TX | |
| Nurse Practitioner | TX | |
| Physical Medicine And Rehabilitation | IL | |
| General Practice | FL | |
| Physical Medicine And Rehabilitation | MD | |
| - | TX | |
| Physical Medicine And Rehabilitation | ND |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.