JOHN JUNGSIK PARK (M.D.) – Neurological Surgery Physician, NPI 1063560597

JOHN JUNGSIK PARK (M.D.) is a healthcare provider. based in Sugar land, Texas. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. N2712 (TX). The NPI Number for JOHN JUNGSIK PARK (M.D.) is 1063560597

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JUNGSIK PARK (M.D.)
NPI
1063560597
Phone
(281) 313-0031
Address
16605 SOUTHWEST FWY
Enumeration Date
8 January 2007
Last Update Date
12 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9564895050
Graduation Year
2001 (25 years ago)
PAC ID
3476633181
Group Practice PAC ID
1355582461
Professional Enrollment ID
I20090507000125
Address ID
TX780456271LA10710RDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

588 NEUROSURGERY in TX

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Provider Addresses for JOHN JUNGSIK PARK (M.D.)

  • Texas Spine & Neurosurgery Center, 16605, Southwest Freeway, Sugar Land, Fort Bend County, Texas, 77479, United States

    SUITE 285

    SUGAR LAND, TX 774793501

    Phone: (281) 313-0031

    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 4 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2023-10-08 • Largest payer in this snapshot: Medtronic, Inc. ($146).

Total Amount

$146

General + Research + Ownership

Payments

4

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$146
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: 2009-05-07

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
I20090507000125INeurosurgeryTXTBD

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
99203New patient office or other outpatient visit, 30-44 minutes9090$0
99213Established patient office or other outpatient visit, 20-29 minutes7455$0
View full utilization report →

Insurance plans in this area (ZIP 77479)

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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: 1355582461View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
O B S T E T R I C S/ G Y N E C O L O G YMN
Nurse PractitionerTX
General SurgeryPA
N E U R O S U R G E R YWI
Nurse PractitionerTX
Nurse PractitionerTX
-PR
Radiation OncologyTX
Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineOK

Reviews

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Frequently asked questions

Where can patients find JOHN JUNGSIK PARK (M.D.)'s NPI?
You can confirm JOHN JUNGSIK PARK (M.D.) with NPI 1063560597; it appears in the national provider directory.
Is JOHN JUNGSIK PARK (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOHN JUNGSIK PARK (M.D.) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for JOHN JUNGSIK PARK (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JOHN JUNGSIK PARK (M.D.)?
The snapshot lists Sugar Land, Texas for JOHN JUNGSIK PARK (M.D.); download NPPES for the complete set.
What if Sugar Land, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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