DR. KEVIN U PARK (MD) – Orthopaedic Surgery Physician, NPI 1356579627
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 ORTHOPEDIC SURGERY in GA
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Provider Addresses for DR. KEVIN U PARK (MD)
900 CIRCLE 75 SEPKWY 1700
ATLANTA, GA 303393087
Phone: (770) 953-6929
Fax: (770) 953-6972
Type: Mailing
1265, Highway 54 West, Fayetteville, Fayette County, Georgia, 30214, United States
SUITES 102 AND 308
FAYETTEVILLE, GA 302144548
Phone: (770) 460-1900
Fax: (770) 719-1214
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $5,800.
Total Amount is formed as General ($5,800) + Research ($0) + Ownership ($0) = $5,800.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Globus Medical, Inc. ($2,389).
Total Amount
$5,800
General + Research + Ownership
Payments
59
Total payment records
General Amount
$5,800
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 |
|---|---|
| Globus Medical, Inc. | $2,389 |
| Medtronic, Inc. | $1,542 |
| Arteriocyte Medical Systems, Inc. | $938 |
| NuVasive, Inc. | $643 |
| SI-BONE, INC. | $217 |
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: 2015-10-20
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 |
|---|---|---|---|---|
| I20151020000082 | I | Orthopedic 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 264 | 200 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 191 | 182 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 188 | 144 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 138 | 138 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 93 | 92 | $0 |
Insurance plans in this area (ZIP 30339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| - | GA | |
| Physical Medicine And Rehabilitation | MO | |
| Orthopedic Surgery, Hand Surgery | FL | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | GA | |
| - | GA |
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