JUNE PARK (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1285088302
Student in an Organized Health Care Education/Training Program
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Profile Insights
NPPES metrics only — not quality of care.
42 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MO
Provider Addresses for JUNE PARK (M.D.)
6420 CLAYTON RD
ST. MARY'S HEALTH CENTER, DEPT OF INT MED
SAINT LOUIS, MO 631171811
Phone:
Type: Mailing
263 SHUMAN BLVD STE 125
NAPERVILLE, IL 605631266
Phone: (847) 381-8899
Type: Location
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: 2021-07-29
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 |
|---|---|---|---|---|
| I20210729002886 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 267 | 212 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 157 | 145 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 146 | 95 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 69 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 55 | $0 |
Insurance plans in this area (ZIP 63117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Dermatology, Internal Medicine | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL |
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