DR. JONATHON LEX PARK (MD) – Family Medicine Physician, NPI 1588649289
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
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Provider Addresses for DR. JONATHON LEX PARK (MD)
North Bend Medical Center, 1900, Woodland Drive, Coos Bay, Coos County, Oregon, 97420, United States
COOS BAY, OR 974200000
Phone: (541) 267-5151
Fax: (541) 266-4507
Type: Mailing
110, 10th Street Southeast, Bandon, Coos County, Oregon, 97411, United States
BANDON, OR 974119157
Phone: (541) 347-2313
Fax: (541) 347-2015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Novo Nordisk Inc ($18).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $18 |
| Lundbeck LLC | $18 |
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: 2010-01-12
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 |
|---|---|---|---|---|
| I20100112000789 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,940 | 32 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 405 | 22 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 92 | 72 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 50 | 32 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 45 | 45 | $0 |
Insurance plans in this area (ZIP 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Qualified Audiologist | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| Family Practice | HI | |
| - | MI | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR |
Reviews
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