ANDREW G PARK (MD) – Orthopaedic Surgery Physician, NPI 1013350016

ANDREW G PARK (MD) is a healthcare provider. based in Dover, Delaware. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. C1-0013058 (DE). The NPI Number for ANDREW G PARK (MD) is 1013350016

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW G PARK (MD)
NPI
1013350016
Phone
(302) 503-2300
Address
640 S. STATE STREET
Enumeration Date
10 April 2013
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
3027253500
Graduation Year
2013 (13 years ago)
PAC ID
2769615186
Group Practice PAC ID
1658364740
Professional Enrollment ID
I20190715001961
Address ID
DE199683103MI18383RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

84 ORTHOPEDIC SURGERY in DE

Provider Addresses for ANDREW G PARK (MD)

  • 640 S. STATE STREET

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 503-2300

    Fax: (302) 424-9212

    Type: Mailing

  • 100 WELLNESS WAY

    MILFORD, DE 199634364

    Phone: (302) 503-2300

    Fax: (302) 424-9212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($128).

Total Amount

$152

General + Research + Ownership

Payments

3

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190715001961IOrthopedic SurgeryDETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg367140$0
99213Established patient office or other outpatient visit, 20-29 minutes220181$0
99203New patient office or other outpatient visit, 30-44 minutes217217$0
99214Established patient office or other outpatient visit, 30-39 minutes141131$0
20550Injection into tendon or ligament11698$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658364740View full group profile
NameSpecialtyState
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YDE
Internal Medicine, Infectious DiseaseDE
-DE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Medical OncologyDE
Physician AssistantDE
Certified Nurse Midwife (Cnm)DE
Internal MedicineNY

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW G PARK (MD)'s NPI?
Yes. ANDREW G PARK (MD) is listed with NPI 1013350016 in the public NPI dataset.
Does CMS list ANDREW G PARK (MD) as active?
Yes — ANDREW G PARK (MD) is active in the NPI listing used on this page.
What is ANDREW G PARK (MD) best known for clinically?
Directory data describes ANDREW G PARK (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREW G PARK (MD) on a map?
Expect Dover, Delaware as a primary anchor for ANDREW G PARK (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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