DR. HYO KWON PARK (D.O.) – Family Medicine Physician, NPI 1730170770

DR. HYO KWON PARK (D.O.) is a healthcare provider. based in Victoria, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 0102202692 (VA). The NPI Number for DR. HYO KWON PARK (D.O.) is 1730170770

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. HYO KWON PARK (D.O.)
NPI
1730170770
Phone
(434) 696-2165
Address
P.O. BOX 70
Enumeration Date
31 October 2005
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4346962165
Graduation Year
2002 (24 years ago)
PAC ID
7618981622
Group Practice PAC ID
0648188755
Professional Enrollment ID
I20060201000562
Address ID
VA239742624VI1508XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Loading map...

Provider Addresses for DR. HYO KWON PARK (D.O.)

  • P.O. BOX 70

    1508 K-V ROAD

    VICTORIA, VA 23974

    Phone: (434) 696-2165

    Fax: (434) 696-1557

    Type: Mailing

  • 13855, Courthouse Road, Confederate Woods, Dinwiddie, Dinwiddie County, Virginia, 23841, United States

    DINWIDDIE, VA 238412254

    Phone: (804) 469-3731

    Fax: (804) 469-5307

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: PFIZER INC. ($73).

Total Amount

$250

General + Research + Ownership

Payments

14

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2010-11-15

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
I20101115000893IFamily PracticeVATBD

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
83036Hemoglobin a1c level15075$0
81003Automated urinalysis test2520$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1816$0
71046X-ray of chest, 2 views1412$0
View full utilization report →

Insurance plans in this area (ZIP 23974)

Loading plans...

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: 0648188755View full group profile
NameSpecialtyState
Family PracticeVA
Family PracticeGA
Pediatric Medicine, Emergency MedicineVA
Internal Medicine, Pediatric MedicineVA
Family PracticeVA
Nurse PractitionerVA
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Clinical Social WorkerVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DR. HYO KWON PARK (D.O.) for billing?
Administrative and clinical systems typically use NPI 1730170770 for DR. HYO KWON PARK (D.O.).
Is DR. HYO KWON PARK (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. HYO KWON PARK (D.O.) as active.
What does the directory say DR. HYO KWON PARK (D.O.) does?
Insurance directories may phrase it differently, but here DR. HYO KWON PARK (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. HYO KWON PARK (D.O.)?
DR. HYO KWON PARK (D.O.) shows a connection to Victoria, Virginia in registry-derived data.
Who maintains DR. HYO KWON PARK (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MS. LISA M YORK (MD)

Family Medicine Physician
1508, K-V Road, Victoria, Lunenburg County, Virginia, 23974, United States
NPI: 1295730778

DEBRA MARIE SEQUEIRA (MD)

Family Medicine Physician
70, Victoria, unincorporated Newfoundland, Newfoundland, Newfoundland and Labrador, A1Y 1C4, Canada
NPI: 1851373559

DARLA ADAMS (MD)

Family Medicine Physician
2709, Brierwood Road, Ramblewood, Petersburg, Virginia, 23805, United States
NPI: 1669452645

SOUTHERN DOMINION HEALTH SYSTEM, INC.

Federally Qualified Health Center (FQHC)
70, Victoria, unincorporated Newfoundland, Newfoundland, Newfoundland and Labrador, A1Y 1C4, Canada
NPI: 1295706588

MARY E CABRERA (MD)

Family Medicine Physician
2010, Atherholt Road, Dearington, Lynchburg, Lynchburg (city), Virginia, 24501, United States
NPI: 1558328450
11812, Hardwood Drive, Saint James Woods, Midlothian, Chesterfield County, Virginia, 23114, United States
NPI: 1003969361

JOHN ALFRED JR. HOLLAND (M.D.)

Family Medicine Physician
70, Victoria, unincorporated Newfoundland, Newfoundland, Newfoundland and Labrador, A1Y 1C4, Canada
NPI: 1730339664

DR. KURIAKOSE V. THEKKETHALA (M.D.)

Family Medicine Physician
70, Victoria, unincorporated Newfoundland, Newfoundland, Newfoundland and Labrador, A1Y 1C4, Canada
NPI: 1427293778

MARGARET KATELYN INGE (DO)

Family Medicine Physician
PO BOX 743070
NPI: 1174934954