DR. MICHAEL PARK (M.D.) – Internal Medicine Physician, NPI 1043659956

DR. MICHAEL PARK (M.D.) is a healthcare provider. based in Ashland, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. S5243 (TX). The NPI Number for DR. MICHAEL PARK (M.D.) is 1043659956

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL PARK (M.D.)
NPI
1043659956
Phone
(606) 833-3333
Address
1000 Saint Christopher Dr
Enumeration Date
25 June 2013
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123241017
Graduation Year
2012 (14 years ago)
PAC ID
3274828173
Group Practice PAC ID
7618237264
Professional Enrollment ID
I20201207000134
Address ID
TX787316309AU3501XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for DR. MICHAEL PARK (M.D.)

  • 1000 Saint Christopher Dr

    Ashland, KY 411017034

    Phone: (606) 833-3333

    Type: Location

  • 155 Crystal Run Rd

    Middletown, NY 109414028

    Phone: (845) 703-6999

    Fax: (845) 703-6297

    Type: Location

  • 4811 WOODROW AVE UNIT 202

    AUSTIN, TX 787565803

    Phone: (347) 226-8009

    Type: Mailing

  • 1006 LITTLE ELM PARK

    AUSTIN, TX 787586713

    Phone: (347) 226-8009

    Type: Mailing

  • 2401 W UNIVERSITY AVE

    MUNCIE, IN 473033428

    Phone: (347) 226-8009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201207000134IInternal MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes374145$0
99239Hospital discharge day management, more than 30 minutes134132$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10447$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6766$0
99497Advance care planning, first 30 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 41101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618237264View full group profile
NameSpecialtyState
Family PracticeTX
Hospitalist, Internal MedicineTX
Family Practice, HospitalistPA
Internal MedicineTX
Family PracticeNM
Internal Medicine, Hospitalist, Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerLA

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL PARK (M.D.)?
For DR. MICHAEL PARK (M.D.), use NPI 1043659956 as the unique 10-digit identifier.
Is there an active status for DR. MICHAEL PARK (M.D.)?
For scheduling context, DR. MICHAEL PARK (M.D.) is shown as active in the registry.
What kind of doctor is DR. MICHAEL PARK (M.D.)?
DR. MICHAEL PARK (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL PARK (M.D.)?
Directory geography for DR. MICHAEL PARK (M.D.) centers on Ashland, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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