JEFFREY PARK (M.D.) – Interventional Cardiology Physician, NPI 1124445184
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
304 INTERVENTIONAL CARDIOLOGY in MI
Provider Addresses for JEFFREY PARK (M.D.)
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-4198
Type: Mailing
1444 S POTOMAC ST STE 300
AURORA, CO 800124510
Phone: (303) 750-0822
Fax: (303) 750-1298
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 272 Open Payments records for all available years, with a total value of $25,882.
Total Amount is formed as General ($25,882) + Research ($0) + Ownership ($0) = $25,882.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Shockwave Medical, Inc ($6,894).
Total Amount
$25,882
General + Research + Ownership
Payments
272
Total payment records
General Amount
$25,882
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $6,894 |
| Penumbra, Inc. | $5,382 |
| Edwards Lifesciences Corporation | $5,281 |
| Inari Medical, Inc. | $3,464 |
| HeartFlow, Inc. | $598 |
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: 2022-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210713001649 | I | Cardiovascular Disease (Cardiology) | NC | TBD |
| I20220801002757 | I | Interventional Cardiology | CO | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 663 | 501 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 288 | 269 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 230 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 175 | 95 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 143 | 118 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CO | |
| - | CO | |
| Physician Assistant | TX | |
| Interventional Cardiology | CO | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| Nurse Practitioner | CO |
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