ANTHONY PARK
NPI 1861176182
Family Medicine in Kirksville, MO

Q: What is Anthony Park's NPI number?

The NPI number for Anthony Park is 1861176182. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Q: What is Anthony Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Park was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 15, 2023PECOS Enrolled

315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501(660) 785-1000(660) 785-1154 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2024, Jun 15, 2023 (2 updates tracked since 2023).

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About Anthony Park NPPES

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

ANTHONY PARK (NPI 1861176182) is an individual family medicine provider in Kirksville, Missouri, licensed in Missouri (2024040709) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Macon County Samaritan Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861176182

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANTHONY PARK

Location Address315 S OSTEOPATHY AVEKirksville, MO 63501-6401

Mailing Address315 S Osteopathy AveKirksville, MO 63501-6401 · (660) 785-1000 · Fax (660) 785-1154

Phone(660) 785-1000

Fax(660) 785-1154

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 15, 2023

Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1861176182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2024040709✔ Licensed in MO · 2023022824

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 2024040709 (MO)

315 S OSTEOPATHY AVE, Kirksville, MO 63501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840797908

PECOS Enrollment IDI20251007001664

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.

Hospital Affiliations CMS Care Compare

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

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO

OwnershipGovernment - Local

CMS Certification Number261313

Location1205 North Missouri StMacon, MO 63552 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63501 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

DR. AZHAR ASSADI DO

Internal Medicine