ALEXANDER F. PAK (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1376594614
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
130 THORACIC SURGERY in MO
Provider Addresses for ALEXANDER F. PAK (M.D.)
PO BOX 7411931
CHICAGO, IL 606741931
Phone: (816) 931-3312
Fax: (816) 531-9862
Type: Mailing
4330 WORNALL RD STE 50
KANSAS CITY, MO 641113201
Phone: (816) 931-3312
Fax: (816) 531-9862
Type: Location
4320, Wornall Road, Plaza-Westport, Westport, Kansas City, Jackson County, Missouri, 64111, United States
SUITE 50-II
KANSAS CITY, MO 641115941
Phone: (816) 931-3312
Fax: (816) 531-9862
Type: Mailing
200, South Potomac Street, Aurora, Arapahoe County, Colorado, 80012, United States
AURORA, CO 800124509
Phone: (303) 226-4641
Fax: (303) 751-6069
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $639.
Total Amount is formed as General ($639) + Research ($0) + Ownership ($0) = $639.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Artivion, Inc. ($210).
Total Amount
$639
General + Research + Ownership
Payments
9
Total payment records
General Amount
$639
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Artivion, Inc. | $210 |
| Edwards Lifesciences Corporation | $172 |
| ABIOMED | $147 |
| Medtronic, Inc. | $33 |
| Dilon Technologies, Inc. | $26 |
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: 2025-10-28
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 |
|---|---|---|---|---|
| I20251028002166 | I | Thoracic Surgery | MO | 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 | 36 | 36 | $0 |
| 33508 | Harvest of vein using an endoscope | 20 | 20 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 11 | 11 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60674)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC SURGERY | MO | 33518 | Combined multiple vein and artery heart artery bypasses | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Surgery | MO | |
| Vascular Surgery | KS | |
| Vascular Surgery, Peripheral Vascular Disease | KS | |
| Vascular Surgery | LA | |
| Physician Assistant | MO | |
| Cardiac Surgery | IL | |
| Cardiac Surgery | MS | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | IL |
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