MS. HYUN-JOO KERI PARK (PA-C) – Physician Assistant, NPI 1497003750
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MS. HYUN-JOO KERI PARK (PA-C)
PO BOX 12922
BAKERSFIELD, CA 933892922
Phone: (213) 700-8208
Type: Mailing
525 ROBERTS LN
BAKERSFIELD, CA 933084799
Phone: (213) 700-8208
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 148 Open Payments records for all available years, with a total value of $3,982.
Total Amount is formed as General ($3,982) + Research ($0) + Ownership ($0) = $3,982.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($691).
Total Amount
$3,982
General + Research + Ownership
Payments
148
Total payment records
General Amount
$3,982
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $691 |
| Amgen Inc. | $313 |
| GlaxoSmithKline, LLC. | $294 |
| AstraZeneca Pharmaceuticals LP | $251 |
| Lilly USA, LLC | $242 |
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: 2013-07-03
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 |
|---|---|---|---|---|
| I20130703000473 | I | Physician Assistant | 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 | 167 | 140 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 31 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 18 | 18 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 93389)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Internal Medicine, Geriatric Medicine | CA | |
| Nurse Practitioner | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA |
Reviews
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