DR. DANIEL PARK (D.O.) – Psychiatry Physician, NPI 1124201801
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
251 PSYCHIATRY in NV
Provider Addresses for DR. DANIEL PARK (D.O.)
1707 W Charleston Blvd Ste 200
Las Vegas, NV 891022353
Phone: (951) 809-5908
Fax: (702) 947-5352
Type: Location
West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States
LAS VEGAS, NV 891022353
Phone: (951) 809-5908
Fax: (702) 947-5352
Type: Location
4270 S DECATUR BLVD STE B6
LAS VEGAS, NV 891036802
Phone: (702) 485-2100
Fax: (702) 825-0091
Type: Location
377 TRAILING PUTT WAY
LAS VEGAS, NV 891485003
Phone: (951) 809-5908
Fax: (702) 947-5352
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $939.
Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($244).
Total Amount
$939
General + Research + Ownership
Payments
50
Total payment records
General Amount
$939
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
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: 2022-09-12
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 |
|---|---|---|---|---|
| I20110915000061 | I | Psychiatry | NV | TBD |
| I20220912002068 | I | Psychiatry | AZ | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 266 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 152 | 26 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 54 | 48 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 38 | 34 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 | $0 |
Insurance plans in this area (ZIP 89102)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NV | 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NV | |
| Physician Assistant | VA | |
| Nurse Practitioner | NV | |
| Clinical Social Worker | NV | |
| P S Y C H I A T R Y | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | ID | |
| Mental Health Counselor | NV | |
| Clinical Social Worker | NV |
Reviews
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