SEAN S PARK (MD) – Internal Medicine Physician, NPI 1316031883
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for SEAN S PARK (MD)
PO BOX 16102
SAN DIEGO, CA 921766102
Phone: (702) 453-3799
Fax: (702) 453-5741
Type: Mailing
Fairchild Medical Center, 444, Bruce Street, Yreka, Siskiyou County, California, 96097, United States
YREKA, CA 960973450
Phone: (702) 453-3799
Fax: (702) 453-5741
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kiniksa Pharmaceuticals International, plc | $20 |
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: 2005-07-19
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 |
|---|---|---|---|---|
| I20050719000676 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | 15 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | 13 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | CA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| A N E S T H E S I O L O G Y | CA | |
| D E R M A T O L O G Y | NV | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| A N E S T H E S I O L O G Y | AZ | |
| Physical Therapist In Private Practice | CA | |
| Orthopedic Surgery | OR | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA |
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