FREDERIC C PARK III MD
NPI 1821189002
Radiology - Diagnostic Radiology in Cape Girardeau, MO
About Frederic C Park Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERIC C PARK III MD (NPI 1821189002) is an individual diagnostic radiology provider in Cape Girardeau, Missouri, licensed in Kentucky (21342) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of University Of Louisville School Of Medicine (1977).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Frederic C Park Iii Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Frederic Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cape Girardeau, MO 63703
- Reassigned Medicare billing, Illinois, Kentucky and Missouri enrollments
- Medicare enrollment name: Cape Radiology Group PC
- 48 clinicians in this Medicare group
Perryville, MO 63775
- Reassigned Medicare billing, Missouri enrollment
- 192 clinicians in this Medicare group
Paducah, KY 42003
- Reassigned Medicare billing, Kentucky enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 50
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILMemorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILMassac Memorial Hospital
Critical Access Hospitals · Metropolis, ILAnna Hospital Corporation D/B/A Union County Hospital
Critical Access Hospitals · Anna, ILMercy Health - Lourdes Hospital
Acute Care Hospitals · Paducah, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
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 Frederic Park's NPI number?
The NPI number for Frederic Park is 1821189002. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is Frederic Park located?
Frederic Park practices at 70 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 334-6071.
What is Frederic Park's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Frederic Park enrolled in Medicare?
Yes. Frederic 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.
Which organizations bill Medicare for Frederic Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederic Park reassigns Medicare benefits to 3 organizations: Cape Radiology Group, P.C. (Cape Girardeau, MO), Mercy Hospital Perry (Perryville, MO) and Mercy Health Physicians Kentucky Specialty Care LLC (Paducah, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frederic Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Frederic Park affiliated with any hospitals?
According to CMS data, Frederic Park is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Massac Memorial Hospital, Anna Hospital Corporation D/B/A Union County Hospital and Mercy Health - Lourdes Hospital.
When was this NPI record last updated?
The NPPES record for Frederic Park was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.