DR. JOHN J PARK (M.D.) – Colon & Rectal Surgery Physician, NPI 1992750020
Colon & Rectal Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for DR. JOHN J PARK (M.D.)
Active Health, 1550, North Northwest Highway, Park Ridge, Cook County, Illinois, 60068, United States
SUITE 107
PARK RIDGE, IL 600681411
Phone: (847) 759-1110
Fax: (847) 759-8273
Mailing address matches the actual address.
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 $2,855.
Total Amount is formed as General ($2,855) + Research ($0) + Ownership ($0) = $2,855.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Axonics, Inc. ($2,007).
Total Amount
$2,855
General + Research + Ownership
Payments
22
Total payment records
General Amount
$2,855
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $2,007 |
| Ethicon US, LLC | $274 |
| Medtronic, Inc. | $162 |
| Guard Medical Inc. | $156 |
| Intuitive Surgical, Inc. | $100 |
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: 2004-05-13
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 |
|---|---|---|---|---|
| I20040513000244 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 321 | 223 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 99 | 99 | $0 |
| 46600 | Diagnostic exam of anus using an endoscope | 76 | 64 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | 25 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 40 | $0 |
Insurance plans in this area (ZIP 60068)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IL | 45385 | Removal of polyps or growths of large bowel using an endoscope | 20 | 20 |
| GENERAL SURGERY | IL | 46600 | Diagnostic examination of the anus using an endoscope | 75 | 67 |
| GENERAL SURGERY | IL | 82270 | Stool analysis for blood to screen for colon tumors | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Colorectal Surgery (Proctology) | IL | |
| Colorectal Surgery (Proctology) | IL |
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