DR. TRACY A PARK (MD) – Physical Medicine & Rehabilitation Physician, NPI 1194712455
Physical Medicine & Rehabilitation Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
256 PHYSICAL MEDICINE AND REHABILITATION in WI
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Provider Addresses for DR. TRACY A PARK (MD)
4111, West Mitchell Street, Burnham Park, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
STE 300
MILWAUKEE, WI 532151748
Phone: (414) 385-8800
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.
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: 2008-07-19
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 |
|---|---|---|---|---|
| I20080719000117 | I | Physical Medicine And Rehabilitation | WI | 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 |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 68 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 95909 | Nerve conduction, 5-6 studies | 18 | 17 | $0 |
| 95910 | Nerve conduction, 7-8 studies | 13 | 13 | $0 |
| 95911 | Nerve conduction, 9-10 studies | 12 | 12 | $0 |
Insurance plans in this area (ZIP 53215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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