DR. MICHAEL SEIJOON PARK (MD) – Neurological Surgery Physician, NPI 1013111624

DR. MICHAEL SEIJOON PARK (MD) is a healthcare provider. based in Bradenton, Florida. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 133694 (FL). The NPI Number for DR. MICHAEL SEIJOON PARK (MD) is 1013111624

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL SEIJOON PARK (MD)
NPI
1013111624
Phone
(917) 626-9796
Address
315 75TH ST W
Enumeration Date
14 June 2007
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417943118
Graduation Year
2005 (21 years ago)
PAC ID
7517223530
Group Practice PAC ID
1052372919
Professional Enrollment ID
I20171108000878
Address ID
FL342058633BR200XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

567 NEUROSURGERY in FL

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Provider Addresses for DR. MICHAEL SEIJOON PARK (MD)

  • 315, 75th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342093201

    Phone: (917) 626-9796

    Type: Mailing

  • 7005, Cortez Road West, Bradenton, Manatee County, Florida, 34210, United States

    BRADENTON, FL 342102509

    Phone: (941) 465-4888

    Fax: (855) 405-9237

    Type: Location

  • 200 3RD AVE W STE 200

    BRADENTON, FL 342058633

    Phone: (941) 794-3118

    Fax: (941) 782-2017

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,124.

Total Amount is formed as General ($1,124) + Research ($0) + Ownership ($0) = $1,124.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: GE HEALTHCARE ($144).

Total Amount

$1,124

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2017-11-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171108000878INeurosurgeryFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9740$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7270$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5434$0
99215Established patient office or other outpatient visit, 40-54 minutes5339$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3534$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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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: 1052372919View full group profile
NameSpecialtyState
N E U R O S U R G E R YFL
N E U R O S U R G E R YFL
N E U R O S U R G E R YFL
-FL

Reviews

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Frequently asked questions

How do I look up DR. MICHAEL SEIJOON PARK (MD) by NPI?
Use NPI 1013111624 when you need to reference DR. MICHAEL SEIJOON PARK (MD) in forms, claims, or directories.
Is DR. MICHAEL SEIJOON PARK (MD) active in the national directory?
DR. MICHAEL SEIJOON PARK (MD)'s public NPI profile is in an active state.
What does DR. MICHAEL SEIJOON PARK (MD) treat or focus on?
Patients typically see DR. MICHAEL SEIJOON PARK (MD) under the specialty Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHAEL SEIJOON PARK (MD)?
The page summarizes Bradenton, Florida for DR. MICHAEL SEIJOON PARK (MD); expand the address list for detail.
What if Bradenton, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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