DR. CHAN H. PARK (M.D.) – Family Medicine Physician, NPI 1255336665
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. CHAN H. PARK (M.D.)
565 KERN ST
SHAFTER, CA 932632133
Phone: (661) 459-1010
Fax: (855) 200-2829
Type: Mailing
Stockdale Highway, Bakersfield, Kern County, California, 93314, United States
SUITE 203
BAKERSFIELD, CA 933113620
Phone: (661) 587-8110
Fax: (661) 587-8220
Type: Mailing
500 OLD RIVER RD STE 250
BAKERSFIELD, CA 933119515
Phone: (661) 459-1010
Fax: (855) 200-2829
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,084.
Total Amount is formed as General ($1,084) + Research ($0) + Ownership ($0) = $1,084.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Novo Nordisk Inc ($192).
Total Amount
$1,084
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,084
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $192 |
| PFIZER INC. | $177 |
| Lilly USA, LLC | $150 |
| AstraZeneca Pharmaceuticals LP | $94 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $80 |
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: 2005-09-08
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 |
|---|---|---|---|---|
| I20050908001225 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 351 | 130 | $0 |
| 81002 | Urinalysis, manual test | 282 | 181 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 208 | 164 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 180 | 81 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 126 | 72 | $0 |
Insurance plans in this area (ZIP 93263)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
Reviews
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