DR. ROBIN S PARK (MD) – Psychiatry Physician, NPI 1407871213

DR. ROBIN S PARK (MD) is a healthcare provider. based in Creve coeur, Missouri. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. R3M29 (MO). The NPI Number for DR. ROBIN S PARK (MD) is 1407871213

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBIN S PARK (MD)
NPI
1407871213
Phone
(314) 991-1033
Address
777 CRAIG RD
Enumeration Date
13 July 2006
Last Update Date
22 March 2013

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
4587769997
Professional Enrollment ID
I20070413000164
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROBIN S PARK (MD)

  • 777, Craig Road, Creve Coeur Executive Office Park, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 100

    CREVE COEUR, MO 631417138

    Phone: (314) 991-1033

    Fax: (314) 991-1031

    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)

CMS reports 115 Open Payments records for all available years, with a total value of $1,994.

Total Amount is formed as General ($1,994) + Research ($0) + Ownership ($0) = $1,994.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Corium, LLC ($893).

Total Amount

$1,994

General + Research + Ownership

Payments

115

Total payment records

General Amount

$1,994

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-04-13

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
I20070413000164IPsychiatryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2912$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Reviews

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Frequently asked questions

What is the standard ID for DR. ROBIN S PARK (MD) in the U.S.?
In the U.S., DR. ROBIN S PARK (MD) is identified by NPI 1407871213.
Does the public listing show DR. ROBIN S PARK (MD) as active?
DR. ROBIN S PARK (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. ROBIN S PARK (MD)'s listing?
DR. ROBIN S PARK (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. ROBIN S PARK (MD) tied to Creve Coeur, Missouri?
If you are local to Creve Coeur, Missouri, DR. ROBIN S PARK (MD) may be relevant to your search.
Why is information missing for DR. ROBIN S PARK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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