JEFFREY W PARKER (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1174516629

JEFFREY W PARKER (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in Orthopaedic Surgery of the Spine Physician. They hold the professional credentials M.D.. They hold a License No. 107664 (MO). The NPI Number for JEFFREY W PARKER (M.D.) is 1174516629

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY W PARKER (M.D.)
NPI
1174516629
Phone
(573) 443-2402
Address
1 S KEENE ST
Enumeration Date
30 August 2005
Last Update Date
19 April 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5734432402
Graduation Year
1989 (37 years ago)
PAC ID
5496719098
Group Practice PAC ID
9335042811
Professional Enrollment ID
I20041115000057
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JEFFREY W PARKER (M.D.)

  • Columbia Ortopaedic Group, 1, South Keene Street, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 652017199

    Phone: (573) 443-2402

    Fax: (573) 443-0574

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-11-15

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
I20041115000057IOrthopedic SurgeryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65201)

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Provider's Procedures

JEFFREY W PARKER (M.D.) performs procedures in Orthopaedic Surgery of the Spine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMO20610Aspiration and/or injection of large joint or joint capsule1717
ORTHOPEDIC SURGERYMO62311Injections of substances into lower or sacral spine7759
ORTHOPEDIC SURGERYMO63048Partial removal of spine bone with release of spinal cord and/or nerves3416
ORTHOPEDIC SURGERYMO64493Injections of lower or sacral spine facet joint using imaging guidance10273

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: 9335042811View full group profile
NameSpecialtyState
Sports Medicine, Family PracticeMO
Physician AssistantMO
Pain ManagementMO
A N E S T H E S I O L O G YMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO

Reviews

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Frequently asked questions

Can I use this page to confirm JEFFREY W PARKER (M.D.)'s NPI?
Yes. JEFFREY W PARKER (M.D.) is listed with NPI 1174516629 in the public NPI dataset.
Is JEFFREY W PARKER (M.D.) listed as active for patients and plans?
The listing shows JEFFREY W PARKER (M.D.) as active in the NPI system.
What healthcare role does JEFFREY W PARKER (M.D.) hold?
Scheduling teams often label JEFFREY W PARKER (M.D.) under Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Where is JEFFREY W PARKER (M.D.) based?
JEFFREY W PARKER (M.D.) is tied to Columbia, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about JEFFREY W PARKER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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