DR. SAMUEL SANGHONG PARK (MD) – Orthopaedic Surgery Physician, NPI 1851504377
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for DR. SAMUEL SANGHONG PARK (MD)
911 N ELM ST STE 327
HINSDALE, IL 605213642
Phone: (630) 387-6589
Fax: (630) 387-9789
Type: Mailing
Salt Creek Lane, Fullersburg, Hinsdale, DuPage County, Illinois, 60558, United States
HINSDALE, IL 605218612
Phone: (630) 387-6589
Fax: (630) 387-9789
Type: Mailing
12 Salt Creek Ln Ste 350
Hinsdale, IL 605218612
Phone: (630) 387-6589
Fax: (630) 387-9789
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($196).
Total Amount
$220
General + Research + Ownership
Payments
3
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $196 |
| Avanos Medical | $24 |
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: 2007-09-11
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 |
|---|---|---|---|---|
| I20070911000127 | I | Orthopedic Surgery | IL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 241 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 36 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 37 | 22 | $0 |
Insurance plans in this area (ZIP 60521)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 65 | 61 |
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