DR. DERRALL SHAWN PARKER (M.D.) – Ophthalmology Physician, NPI 1700850500

DR. DERRALL SHAWN PARKER (M.D.) is a healthcare provider. based in Cape girardeau, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. KY30522 (KY). The NPI Number for DR. DERRALL SHAWN PARKER (M.D.) is 1700850500

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERRALL SHAWN PARKER (M.D.)
NPI
1700850500
Phone
(573) 335-3577
Address
360 S MOUNT AUBURN RD
Enumeration Date
16 February 2006
Last Update Date
3 July 2014

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5733353577
Graduation Year
1993 (33 years ago)
PAC ID
8729978267
Group Practice PAC ID
0143117028
Professional Enrollment ID
I20100818000460
Address ID
MO637034920CA360XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:20State licenses:3Digital endpointsOther names

444 OPHTHALMOLOGY in MO

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Provider Addresses for DR. DERRALL SHAWN PARKER (M.D.)

  • North Mount Auburn Road, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637034920

    Phone: (573) 335-3577

    Fax: (573) 335-1559

    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 22 Open Payments records for all available years, with a total value of $472.

Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($125).

Total Amount

$472

General + Research + Ownership

Payments

22

Total payment records

General Amount

$472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051114000898IOphthalmologyILTBD
I20100818000460IOphthalmologyMOTBD

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
92012Established patient problem focused exam of visual system711432$0
92014Established patient complete exam of visual system697690$0
92136Measurement of corneal curvature and depth of eye675449$0
66984Removal of cataract with insertion of prosthetic lens636360$0
99204New patient office or other outpatient visit, 45-59 minutes453453$0
View full utilization report →

Insurance plans in this area (ZIP 63703)

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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: 0143117028View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
-WI
-MO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
-MO

Reviews

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Frequently asked questions

What is the standard ID for DR. DERRALL SHAWN PARKER (M.D.) in the U.S.?
In the U.S., DR. DERRALL SHAWN PARKER (M.D.) is identified by NPI 1700850500.
Does the public listing show DR. DERRALL SHAWN PARKER (M.D.) as active?
DR. DERRALL SHAWN PARKER (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. DERRALL SHAWN PARKER (M.D.)'s specialty?
The extract shows Ophthalmology Physician for DR. DERRALL SHAWN PARKER (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DERRALL SHAWN PARKER (M.D.)?
DR. DERRALL SHAWN PARKER (M.D.) is associated with Cape Girardeau, Missouri in the same public data insurers reference.
Why is information missing for DR. DERRALL SHAWN PARKER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.