DR. TAE SOON PARK (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1528226263
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
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Provider Addresses for DR. TAE SOON PARK (D.P.M.)
1408, Southwest 170th Street, Normandy Park, King County, Washington, 98166, United States
NORMANDY PARK, WA 981663448
Phone: (917) 843-2735
Type: Mailing
Northup Way, Northup, Bellevue, King County, Washington, 98004-4452, United States
BELLEVUE, WA 980041406
Phone: (425) 893-8100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $17 |
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: 2011-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111107000305 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 38 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 41 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 27 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 22 | 17 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 20 | 14 | $0 |
Insurance plans in this area (ZIP 98166)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | WA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 31 | 13 |
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