DR. JIN HONG PARK (MD) – Gastroenterology Physician, NPI 1225033038
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
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Provider Addresses for DR. JIN HONG PARK (MD)
Sudley Road, Manassas, Manassas (city), Virginia, 20110, United States
MANASSAS, VA 201104404
Phone: (703) 368-6819
Fax: (703) 330-2923
Type: Location
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
170 W Shirley Ave Ste 205
Warrenton, VA 201863083
Phone: (540) 347-2470
Type: Location
7915 Lake Manassas Dr Ste 302
Gainesville, VA 201553260
Phone: (571) 248-0653
Type: Location
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,523.
Total Amount is formed as General ($1,523) + Research ($0) + Ownership ($0) = $1,523.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($437).
Total Amount
$1,523
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
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: 2011-08-08
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 |
|---|---|---|---|---|
| I20110808000012 | I | Gastroenterology | VA | 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 |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 144 | 140 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 131 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 110 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 113 | 105 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 20110)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MD | |
| Nurse Practitioner | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Vascular Surgery, General Surgery | VA | |
| - | MD | |
| - | VA | |
| N E U R O S U R G E R Y | MD | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | MD | |
| - | MD |
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