BRIAN J PARK (MD) – Otolaryngology Physician, NPI 1396969598
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
392 OTOLARYNGOLOGY in MA
Provider Addresses for BRIAN J PARK (MD)
2000 WASHINGTON ST
GREEN BUILDING -- SUITE 668
NEWTON, MA 024621650
Phone: (617) 630-1699
Mailing address matches the actual address.
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.
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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: 2009-10-02
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 |
|---|---|---|---|---|
| I20091002000022 | I | Otolaryngology | MA | 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 | 535 | 394 | $0 |
| 69210 | Removal of impacted ear wax | 323 | 269 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 217 | 217 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 126 | 107 | $0 |
| 92511 | Exam of the nose and throat using an endoscope | 63 | 58 | $0 |
Insurance plans in this area (ZIP 02462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| O P T O M E T R Y | MA | |
| O P H T H A L M O L O G Y | MA | |
| - | OH | |
| N E U R O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| O T O L A R Y N G O L O G Y | MA | |
| N E U R O L O G Y | MA | |
| - | MA | |
| Diagnostic Radiology | MA |
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