DR. DANIEL KWANGWON PARK (MD) – Orthopaedic Surgery Physician, NPI 1073769162
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for DR. DANIEL KWANGWON PARK (MD)
PO BOX 735263
CHICAGO, IL 606735263
Phone:
Type: Mailing
1611 W HARRISON ST STE 400
CHICAGO, IL 606124861
Phone: (877) 632-6637
Fax: (708) 409-5179
Type: Location
Lahser Road, Southfield, Oakland County, Michigan, 48025, United States
SOUTHFIELD, MI 480332606
Phone: (312) 497-3437
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 185 Open Payments records for all available years, with a total value of $119,803.
Total Amount is formed as General ($111,878) + Research ($7,925) + Ownership ($0) = $119,803.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Stryker Corporation ($46,358).
Total Amount
$119,803
General + Research + Ownership
Payments
185
Total payment records
General Amount
$111,878
General payments
Research Amount
$7,925
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $46,358 |
| Kuros Biosciences USA, Inc | $35,280 |
| Arthrex, Inc. | $19,964 |
| Orthofix Medical, Inc. | $10,150 |
| Alphatec Spine, Inc | $2,677 |
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: 2025-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20111214000046 | I | Orthopedic Surgery | MI | TBD |
| I20251031000834 | I | Orthopedic Surgery | IL | TBD |
| I20251205002742 | I | Orthopedic Surgery | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 313 | 227 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 202 | 181 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 150 | 94 | $0 |
| 72170 | X-ray of pelvis, 1-2 views | 102 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 90 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MI | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 18 | 18 |
| ORTHOPEDIC SURGERY | MI | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 57 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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