DR. DAN D PARK (DPM) – Podiatrist, NPI 1023151685
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
Provider Addresses for DR. DAN D PARK (DPM)
3231 S NATIONAL AVE
SUITE 160
SPRINGFIELD, MO 658077304
Phone: (417) 888-6708
Fax: (417) 890-4143
Type: Location
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $484.
Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($335).
Total Amount
$484
General + Research + Ownership
Payments
4
Total payment records
General Amount
$484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $335 |
| DePuy Synthes Sales Inc. | $148 |
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: 2010-07-08
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 |
|---|---|---|---|---|
| I20100708000296 | I | Podiatry | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 556 | 283 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 273 | 182 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 264 | 264 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 84 | 25 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | 47 | $0 |
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | DC | |
| - | MO | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO |
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