DR. IN SOON PARK (MD) – Surgery Physician, NPI 1083646350
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,166 GENERAL SURGERY in FL
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Provider Addresses for DR. IN SOON PARK (MD)
Medical Oaks Avenue, Brandon, Hillsborough County, Florida, 33551, United States
BRANDON, FL 33511
Phone: (813) 685-7995
Fax: (813) 685-8802
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $806.
Total Amount is formed as General ($806) + Research ($0) + Ownership ($0) = $806.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Davol Inc. ($197).
Total Amount
$806
General + Research + Ownership
Payments
15
Total payment records
General Amount
$806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $197 |
| Baxter Healthcare | $148 |
| Medtronic, Inc. | $148 |
| Hologic Sales and Service, LLC | $101 |
| W. L. Gore & Associates, Inc. | $45 |
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: 2005-09-20
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 |
|---|---|---|---|---|
| I20050920000612 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 33 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 16 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 16 | $0 |
Insurance plans in this area (ZIP 33511)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | FL | 46600 | Diagnostic examination of the anus using an endoscope | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Surgery | AZ | |
| General Surgery, Thoracic Surgery | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| General Surgery | FL |
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