DAVID Y PARK (M.D.) – Surgery Physician, NPI 1265481519

DAVID Y PARK (M.D.) is a healthcare provider. based in Florence, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD25431 (OR). The NPI Number for DAVID Y PARK (M.D.) is 1265481519

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DAVID Y PARK (M.D.)
NPI
1265481519
Phone
(541) 997-2820
Address
330 9TH ST
Enumeration Date
6 May 2006
Last Update Date
16 December 2009

Doctor Profile

Medical School Name
ILLINOIS MEDICAL COLLEGE
Secondary Phone
8088814400
Graduation Year
1996 (30 years ago)
PAC ID
7618867128
Group Practice PAC ID
0143116293
Professional Enrollment ID
I20160728001385
Address ID
HI967438496KA67112HWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

530 GENERAL SURGERY in OR

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Provider Addresses for DAVID Y PARK (M.D.)

  • 330, 9th Street, Florence, Lane County, Oregon, 97439, United States

    FLORENCE, OR 974399470

    Phone: (541) 997-2820

    Fax: (541) 997-7197

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-09-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-28

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
I20160728001385IGeneral SurgeryHITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5541$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99212Established patient office or other outpatient visit, 10-19 minutes3528$0
45380Biopsy of large bowel using a flexible endoscope2626$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 97439)

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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: 0143116293View full group profile
NameSpecialtyState
-NV
Nurse PractitionerHI
Family PracticeWA
Critical Care (Intensivists), Pulmonary DiseaseCA
O B S T E T R I C S/ G Y N E C O L O G YHI
N E U R O L O G YIA
Internal MedicineHI
Physician AssistantCA
H E M A T O L O G Y/ O N C O L O G YRI
Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

What NPI should I save for DAVID Y PARK (M.D.)?
Save NPI 1265481519 if you need a stable reference for DAVID Y PARK (M.D.).
Does this profile mean DAVID Y PARK (M.D.) is currently active?
Yes — DAVID Y PARK (M.D.) appears active in the national provider directory.
Does DAVID Y PARK (M.D.) list a primary specialty?
If you are matching referrals, note Surgery Physician for DAVID Y PARK (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DAVID Y PARK (M.D.)?
We surface Florence, Oregon for DAVID Y PARK (M.D.) based on available NPPES addresses.
Is DAVID Y PARK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1265481519. Always confirm identity and privileges with the practice and licensing boards.

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