DR. DAVID D. PARK (M.D.) – Surgery Physician, NPI 1114986569
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
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Provider Addresses for DR. DAVID D. PARK (M.D.)
5115, New Peachtree Road, Chamblee, DeKalb County, Georgia, 30341, United States
SUITE 202
CHAMBLEE, GA 303413326
Phone: (678) 336-5951
Fax: (678) 336-5955
Type: Mailing
Plastic Surgery Centre of Atlanta, 5673, Peachtree Dunwoody Road, Atlanta, Georgia, 30342, United States
SUITE 300
ATLANTA, GA 303421731
Phone: (404) 252-6118
Fax: (404) 252-8016
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $36,031.
Total Amount is formed as General ($36,031) + Research ($0) + Ownership ($0) = $36,031.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Davol Inc. ($30,000).
Total Amount
$36,031
General + Research + Ownership
Payments
34
Total payment records
General Amount
$36,031
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $30,000 |
| AngioDynamics, Inc. | $4,800 |
| Smith+Nephew, Inc. | $1,171 |
| Stryker Corporation | $21 |
| Heron Therapeutics, Inc. | $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: 2006-01-20
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 |
|---|---|---|---|---|
| I20060120000118 | I | General Surgery | GA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 22 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 40 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 35 | 34 | $0 |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 32 | 20 | $0 |
Insurance plans in this area (ZIP 30341)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 52 | 28 |
| GENERAL SURGERY | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 31 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA |
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