DR. MARK JUSTIN PARKS (DO) – Obstetrics & Gynecology Physician, NPI 1205336229

DR. MARK JUSTIN PARKS (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 6719 (OK). The NPI Number for DR. MARK JUSTIN PARKS (DO) is 1205336229

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK JUSTIN PARKS (DO)
NPI
1205336229
Phone
(918) 294-3430
Address
6126 E 61st St
Enumeration Date
16 February 2018
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4057448939
Graduation Year
2018 (8 years ago)
PAC ID
6305228073
Group Practice PAC ID
2769739358
Professional Enrollment ID
I20220728001300
Address ID
OK740780001ST042XXMURR201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

480 OBSTETRICS/GYNECOLOGY in OK

Provider Addresses for DR. MARK JUSTIN PARKS (DO)

  • 6126 E 61st St

    Tulsa, OK 741360000

    Phone: (918) 294-3430

    Fax: (918) 294-3910

    Type: Location

  • 2450 N Harvard Ave

    Tulsa, OK 741153140

    Phone: (918) 508-7199

    Fax: (918) 508-7172

    Type: Location

  • 200, South Houston Avenue, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States

    TULSA, OK 741279005

    Phone: (918) 586-4518

    Type: Mailing

  • 5310 E 31ST ST FL 13

    TULSA, OK 741355018

    Phone: (918) 561-5701

    Fax: (918) 561-1173

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $526.

Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($173).

Total Amount

$526

General + Research + Ownership

Payments

12

Total payment records

General Amount

$526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2022-07-28

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
I20220728001300IObstetrics/GynecologyOKTBD

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 74136)

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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: 2769739358View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Neurology, PsychiatryOK
-OK
Emergency MedicineOK
Emergency MedicineOK
Family PracticeOK
Internal MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YOK
Clinical PsychologistCO
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify DR. MARK JUSTIN PARKS (DO) for billing?
Administrative and clinical systems typically use NPI 1205336229 for DR. MARK JUSTIN PARKS (DO).
Is DR. MARK JUSTIN PARKS (DO)'s NPI status active today?
Active status means DR. MARK JUSTIN PARKS (DO)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. MARK JUSTIN PARKS (DO)?
NPPES ties DR. MARK JUSTIN PARKS (DO) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK JUSTIN PARKS (DO)?
DR. MARK JUSTIN PARKS (DO) is associated with Tulsa, Oklahoma in the same public data insurers reference.
Who maintains DR. MARK JUSTIN PARKS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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