EUNICE PARK (PA-C) – Medical Physician Assistant, NPI 1366911604
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
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Provider Addresses for EUNICE PARK (PA-C)
5901, Steilacoom Boulevard Southwest, Lakewood Plaza Apartments, Custer, Lakewood, Pierce County, Washington, 98499, United States
LAKEWOOD, WA 984993120
Phone: (253) 572-2842
Type: Mailing
1703 S MERIDIAN STE 101
PUYALLUP, WA 983717590
Phone: (253) 848-3000
Fax: (253) 840-6514
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $3,050.
Total Amount is formed as General ($3,050) + Research ($0) + Ownership ($0) = $3,050.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($730).
Total Amount
$3,050
General + Research + Ownership
Payments
118
Total payment records
General Amount
$3,050
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $730 |
| E.R. Squibb & Sons, L.L.C. | $537 |
| ABBVIE INC. | $436 |
| Amgen Inc. | $195 |
| UCB, Inc. | $186 |
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: 2019-03-26
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 |
|---|---|---|---|---|
| I20190326000171 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 953 | 180 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 338 | 290 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 288 | 243 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 288 | 210 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 215 | 197 | $0 |
Insurance plans in this area (ZIP 98499)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| O P H T H A L M O L O G Y | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | WA | |
| O P H T H A L M O L O G Y | WA | |
| - | WA | |
| - | WA |
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