DR. EUGENE PARK M.D.
NPI 1003254079
Plastic Surgery - Surgery of the Hand in Philadelphia, PA

Q: What is Eugene Park's NPI number?

The NPI number for Eugene Park is 1003254079. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Eugene Park's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Q: When was this NPI record last updated?

The NPPES record for Eugene Park was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2013PECOS Enrolled

3551 N BROAD ST, PHILADELPHIA, PA 19140(215) 430-4000 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Eugene Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EUGENE PARK M.D. (NPI 1003254079) is an individual surgery of the hand provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD474449) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003254079

Entity TypeIndividualMale

Primary Taxonomy2082S0105X

Provider Legal NameDR. EUGENE PARKCredential: M.D.

Location Address3551 N BROAD STPhiladelphia, PA 19140-4160

Mailing Address3551 N Broad StPhiladelphia, PA 19140-4160 · (215) 430-4000

Phone(215) 430-4000

Sole ProprietorYes

Enumeration DateJune 11, 2013

Last NPPES UpdateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1003254079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2082S0105X

License✔ Licensed in PA · MD474449

Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

3551 N BROAD ST, Philadelphia, PA 19140

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eugene Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eugene Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shriners Hospitals For Children

Same address

Anesthesiology

3551 N BROAD ST
Philadelphia, PA 19140

Reassigned Medicare billing, Pennsylvania and South Carolina enrollments
Also billed through NPI 1275271462 (South Carolina)
83 clinicians in this Medicare group

NPI 1023506276 (215) 430-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE WEISS PT, DPT

Physical Therapist