DR. JOHN MOONKEUN PARK (MD) – Surgery Physician, NPI 1023394665
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 VASCULAR SURGERY in NE
Provider Addresses for DR. JOHN MOONKEUN PARK (MD)
PO BOX 3755
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
515 N 162ND AVE
STE. 300
OMAHA, NE 681182539
Phone: (402) 393-6624
Fax: (402) 393-6635
Type: Location
17404 BURKE ST STE 102
OMAHA, NE 681182242
Phone: (351) 466-4260
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 506 Open Payments records for all available years, with a total value of $163,539.
Total Amount is formed as General ($163,539) + Research ($0) + Ownership ($0) = $163,539.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Boston Scientific Corporation ($55,766).
Total Amount
$163,539
General + Research + Ownership
Payments
506
Total payment records
General Amount
$163,539
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $55,766 |
| Bard Peripheral Vascular, Inc. | $30,637 |
| Silk Road Medical, Inc. | $25,478 |
| Endologix LLC | $17,279 |
| Penumbra, Inc. | $14,873 |
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: 2012-11-19
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 |
|---|---|---|---|---|
| I20120627000677 | I | Vascular Surgery | NE | TBD |
| I20121119000019 | I | Vascular Surgery | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 339 | 294 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 339 | 322 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 317 | 313 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 200 | 196 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 138 | 133 | $0 |
Insurance plans in this area (ZIP 68103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | NE | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 29 | 27 |
| VASCULAR SURGERY | NE | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 231 | 222 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NE | |
| - | NE | |
| P O D I A T R Y | NE | |
| Physical Therapist In Private Practice | NE | |
| - | NE | |
| P O D I A T R Y | NE | |
| P O D I A T R Y | NE | |
| Physician Assistant | NE | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | NE |
Reviews
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