DR. KEVIN WILSON PARKS (M.D.) – Allergy Physician, NPI 1467499475
Allergy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
45 ALLERGY/IMMUNOLOGY in OR
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Provider Addresses for DR. KEVIN WILSON PARKS (M.D.)
3860, Crater Lake Avenue, Medford, Jackson County, Oregon, 97504, United States
SUITE A
MEDFORD, OR 975049741
Phone: (541) 858-1003
Fax: (541) 857-4499
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.
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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: 2007-05-03
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 |
|---|---|---|---|---|
| I20070503000169 | I | Allergy/Immunology | OR | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 4,052 | 86 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 3,176 | 64 | $0 |
| 95117 | Professional service for multiple injections of allergen | 598 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 230 | 205 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 175 | $0 |
Insurance plans in this area (ZIP 97504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | OR | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 3978 | 84 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Allergy/Immunology, Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | NM | |
| Internal Medicine, Pediatric Medicine, Allergy/Immunology | OR | |
| Allergy/Immunology, Internal Medicine | OR | |
| - | OR |
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