DR. JACK DUNCAN PARKS (MD) – Obstetrics Physician, NPI 1922219666

DR. JACK DUNCAN PARKS (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 4301082476 (MI). The NPI Number for DR. JACK DUNCAN PARKS (MD) is 1922219666

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK DUNCAN PARKS (MD)
NPI
1922219666
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
24 May 2007
Last Update Date
1 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2316723300
Graduation Year
2003 (23 years ago)
PAC ID
7113011743
Group Practice PAC ID
1052594462
Professional Enrollment ID
I20070913000341
Address ID
MI494425500MU1675XSTXX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. JACK DUNCAN PARKS (MD)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • PO BOX 776982

    CHICAGO, IL 606776982

    Phone: (800) 494-5797

    Type: Mailing

  • 1675 LEAHY ST

    STE 428B

    MUSKEGON, MI 494425500

    Phone: (231) 672-3300

    Fax: (231) 672-3380

    Type: Location

  • 722, Locust Street, Big Rapids, Mecosta County, Michigan, 49307, United States

    SUITE 2

    BIG RAPIDS, MI 49307

    Phone: (231) 592-4200

    Fax: (231) 527-6859

    Type: Location

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 $493.

Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($141).

Total Amount

$493

General + Research + Ownership

Payments

22

Total payment records

General Amount

$493

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070913000341IObstetrics/GynecologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052594462View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What identifier follows DR. JACK DUNCAN PARKS (MD) across health systems?
The NPI 1922219666 uniquely identifies DR. JACK DUNCAN PARKS (MD) in U.S. healthcare data.
Is DR. JACK DUNCAN PARKS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JACK DUNCAN PARKS (MD) as active.
What type of care does DR. JACK DUNCAN PARKS (MD) provide?
DR. JACK DUNCAN PARKS (MD)'s profile centers on Obstetrics Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JACK DUNCAN PARKS (MD) in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for DR. JACK DUNCAN PARKS (MD), then verify phone and hours locally.
Who maintains DR. JACK DUNCAN PARKS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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