CHRISTOPHER LANE PARK DO
NPI 1710181078
Family Medicine in Pontotoc, MS

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
93.42/100
CMS Quality Rating
47 S MAIN ST, PONTOTOC, MS 38863(662) 499-2802(866) 939-1560 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Mar 4, 2022, Jun 30, 2020 (3 updates tracked since 2020).

About Christopher Lane Park Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER LANE PARK DO (NPI 1710181078) is an individual family medicine provider in Pontotoc, Mississippi, licensed in Mississippi (19482) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in Woonsocket.

NPPES Registry Identity

NPI1710181078
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHRISTOPHER LANE PARKCredential: DO
Location Address47 S MAIN STPontotoc, MS 38863-2823
Mailing AddressPo Box 507Pontotoc, MS 38863-0507 · (662) 499-2802 · Fax (866) 939-1560
Fax(866) 939-1560
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 12, 2007
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1710181078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 19482
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
47 S MAIN ST, Pontotoc, MS 38863

Secondary Practice Location 1

Location 11 Cvs DrWoonsocket, RI 02895-6146 · Phone (866) 389-2727

Other Identifiers 1

Medicaid06575065MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Christopher Lane Park Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557448610
PECOS Enrollment IDI20080414000516
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,109 services237 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
419 services136 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
294 services168 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
279 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
200 services122 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
178 services56 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250006
Location200 Hwy 30 WestNew Albany, MS 38652 · Union County
Emergency services Birthing friendly

Pontotoc Health Service Inc Cah

Critical Access Hospitals · Pontotoc, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251308
Location176 South Main StreetPontotoc, MS 38863 · Pontotoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38863 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.62
Promoting Interoperability97
Improvement Activities40
Cost65.3

Reported Quality Measures

Advance Care Plan
100%286 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
63%498 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%194 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%7,175 patients5/55-star benchmark: 100%
e-Prescribing
99%3,241 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,199 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,098 patients
Patients screened: 92% · 1,098 patients
100%412 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%944 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims90 services$6.95 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers18 claims44 services$1.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers20 claims37 services$2.01 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier12 claims12 services$1.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims34 services$20.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
47 S MAIN ST
PONTOTOC, MS 38863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Park's NPI number?

The NPI number for Christopher Park is 1710181078. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Christopher Park located?

Christopher Park practices at 47 S Main St, Pontotoc, MS 38863. The listed phone number is (662) 499-2802.

What is Christopher Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Christopher Park enrolled in Medicare?

Yes. Christopher Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Christopher Park accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and UnitedHealthcare list Christopher Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Christopher Park affiliated with any hospitals?

According to CMS data, Christopher Park is affiliated with North Mississippi Medical Center, Baptist Memorial Hospital Union County and Pontotoc Health Service Inc Cah.

When was this NPI record last updated?

The NPPES record for Christopher Park was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.