ROY J PARK (MD) – Ophthalmology Physician, NPI 1275534919

ROY J PARK (MD) is a healthcare provider. based in Puyallup, Washington. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 25MA07382200 (NJ). The NPI Number for ROY J PARK (MD) is 1275534919

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ROY J PARK (MD)
NPI
1275534919
Phone
(253) 848-3000
Address
1703 S MERIDIAN STE 101
Enumeration Date
3 August 2005
Last Update Date
21 July 2017

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2538483000
Graduation Year
1997 (29 years ago)
PAC ID
6901838150
Group Practice PAC ID
4486541554
Professional Enrollment ID
I20080519000700
Address ID
WA983351842GI4907XNWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

466 OPHTHALMOLOGY in WA

Loading map...

Provider Addresses for ROY J PARK (MD)

  • 101, South Meridian, Puyallup, Pierce County, Washington, 98371, United States

    PUYALLUP, WA 983717590

    Phone: (253) 848-3000

    Fax: (253) 840-6514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Alcon Vision LLC ($191).

Total Amount

$253

General + Research + Ownership

Payments

15

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2008-05-19

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
I20080519000700IOphthalmologyWATBD

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
92014Established patient complete exam of visual system797783$0
99214Established patient office or other outpatient visit, 30-39 minutes487319$0
92133Imaging of optic nerve310307$0
92083Exam of visual field with extended testing285281$0
99213Established patient office or other outpatient visit, 20-29 minutes264201$0
View full utilization report →

Insurance plans in this area (ZIP 98371)

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: 4486541554View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
-WA
O P H T H A L M O L O G YWA
D E R M A T O L O G YWA
-WA
Physician AssistantWA
Physician AssistantWA
O P H T H A L M O L O G YTX
Micrographic Dermatologic Surgery (Mds), DermatologyWA
-WA

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 unique ID ties claims to ROY J PARK (MD)?
NPI 1275534919 is assigned to ROY J PARK (MD) under the national enumeration system.
Is ROY J PARK (MD) active in the national directory?
ROY J PARK (MD)'s public NPI profile is in an active state.
What kind of provider is ROY J PARK (MD)?
The page reflects Ophthalmology Physician for ROY J PARK (MD). Clinical services aligned with this taxonomy classification.
Where is ROY J PARK (MD)'s primary listing?
We display Puyallup, Washington because that is what the record indicates for ROY J PARK (MD).
How can I contact ROY J PARK (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

WILLIAM ROMAIN RAYMOND (MD)

Ophthalmology Physician
DEPT OF SURGERY, OPHTHALMOLOGY SERVICE
NPI: 1912979600

DR. TRAVIS C FRAZIER (M.D.)

Glaucoma Specialist (Ophthalmology) Physician
1703 S MERIDIAN STE 101
NPI: 1194790998

DR. JAY CHARLES RUDD (MD)

Ophthalmology Physician
2910 S MERIDIAN STE 300
NPI: 1699726687

MICHAEL B BRUSH (M.D.)

Ophthalmology Physician
1007 39TH AVE SE
NPI: 1063437077

RACHAEL D ELROD (MD)

Ophthalmology Physician
1703, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
NPI: 1053322156

LESLIE P FOX (MD)

Ophthalmology Physician
1703, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
NPI: 1811908908

KEITH F DAHLHAUSER (MD)

Ophthalmology Physician
9040 Jackson Ave
NPI: 1003827171

MARK R GILDENHAR (MD)

Ophthalmology Physician
1703, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
NPI: 1790796860

DENNIS D DROUILLARD (MD)

Ophthalmology Physician
1703, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
NPI: 1275544371