Frederic C. Park III, MD
NPI 1821189002ActiveIndividual· Radiology, Diagnostic Radiology· Cape Girardeau, MO
Radiology, Diagnostic Radiology (MD) in Cape Girardeau, Missouri, trained at University of Louisville School of Medicine (class of 1977). Medicare paid $95,282 for services to 3,085 patients in 2024. Hologic Sales and Service, LLC reported $17.90 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1821189002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Aug 2, 2022 |
| Certified by provider | Aug 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 21342 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (KY); Practitioner - Diagnostic Radiology (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,085 |
|---|---|
| Services billed | 4,298 across 139 procedure codes |
| Paid by Medicare | $95,282 |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 1977 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Cape Radiology Group PCPortland, ME · 55 clinicians
Hospital affiliations
- Deaconess Illinois Union CountyAnna, IL
- Herrin HospitalHerrin, IL
- Massac Memorial HospitalMetropolis, IL
- Memorial Hospital of CarbondaleCarbondale, IL
- Mercy Health - Lourdes HospitalPaducah, KY
Other facilities
- Lourdes Rehabilitation CenterInpatient rehabilitation facility · Paducah, KY
Industry payments (Open Payments)
- 2025$17.90 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $17.90 | 1 |
What the 2025 payments were for
- Food and Beverage$17.90 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 64 diagnostic radiologists in Cape Girardeau · All diagnostic radiologists in Missouri