JIN S PARK (MD) – Interventional Cardiology Physician, NPI 1164400768
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO
Provider Addresses for JIN S PARK (MD)
615 W Nursery St
Butler, MO 647301840
Phone: (660) 200-7000
Type: Location
201 NW RD Mize Rd
Blue Springs, MO 64014
Phone: (816) 228-5900
Type: Location
5721 W 119th St
Overland Park, KS 662093722
Phone: (913) 498-6000
Type: Location
7201 E 147th St Ste 120
Grandview, MO 640304204
Phone: (913) 956-2250
Fax: (913) 956-2251
Type: Location
Saint Joseph Medical Center, 1000, Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 64114, United States
PROVIDER ENROLLMENT/MED STAFF OF
KANSAS CITY, MO 64114
Phone: (816) 943-5744
Type: Mailing
1000 CARONDELET DR STE 201B
KANSAS CITY, MO 64114
Phone: (913) 956-2250
Fax: (913) 956-2251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 253 Open Payments records for all available years, with a total value of $4,077.
Total Amount is formed as General ($4,077) + Research ($0) + Ownership ($0) = $4,077.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($483).
Total Amount
$4,077
General + Research + Ownership
Payments
253
Total payment records
General Amount
$4,077
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080725000057 | I | Cardiovascular Disease (Cardiology) | MO | TBD |
| I20151007002502 | I | Cardiovascular Disease (Cardiology) | KS | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 871 | 575 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 837 | 440 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 309 | 95 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 270 | 258 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 118 | 118 | $0 |
Insurance plans in this area (ZIP 64730)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 111 | 111 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 17 | 17 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 495 | 391 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 47 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Emergency Medicine, Undersea And Hyperbaric Medicine | MO | |
| Nurse Practitioner | KS | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine | MO | |
| Internal Medicine, Hospitalist | OH | |
| - | MO | |
| Internal Medicine, Hospitalist | KS | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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