SAMUEL RYAN PARK (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1023174752
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,369 ANESTHESIOLOGY in CA
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Provider Addresses for SAMUEL RYAN PARK (MD)
Odyssey, Discovery Business Center, Irvine Spectrum, Irvine, Orange County, California, 92618, United States
IRVINE, CA 926183194
Phone:
Type: Mailing
22 Odyssey Ste 155
Irvine, CA 926183194
Phone: (949) 207-7650
Type: Location
101 THE CITY DR S
ORANGE, CA 928683201
Phone: (714) 456-8888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Alkermes, Inc. ($181).
Total Amount
$230
General + Research + Ownership
Payments
9
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $181 |
| Heron Therapeutics, Inc. | $49 |
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: 2006-04-13
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 |
|---|---|---|---|---|
| I20060413000168 | I | Anesthesiology | CA | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 27 | 27 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 11 | 11 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | MO | |
| Anesthesiology, Pain Management | CA | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA |
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