DR. JOHN MOONKEUN PARK MD
NPI 1023394665
Surgery - Vascular Surgery in Omaha, NE

Q: What is John Park's NPI number?

The NPI number for John Park is 1023394665. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Q: What is John Park's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for John Park was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 October 27, 2011PECOS EnrolledAccepts Medicare Assignment

17404 BURKE ST STE 102, OMAHA, NE 68118(531) 466-4260 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. John Moonkeun Park Md NPPES

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

DR. JOHN MOONKEUN PARK MD (NPI 1023394665) is an individual vascular surgery provider in Omaha, Nebraska, licensed in Nebraska (26509) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Montgomery County Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (2005).

NPPES Registry Identity

NPI1023394665

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. JOHN MOONKEUN PARKCredential: MD

Location Address17404 BURKE ST STE 102Omaha, NE 68118-2242

Mailing Address17404 Burke St Ste 102Omaha, NE 68118-2242 · (351) 466-4260

Phone(531) 466-4260

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2005

Enumeration DateOctober 27, 2011

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1023394665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in NE · 26509✔ Licensed in OH · 35.095909✔ Licensed in IA · 40563

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 35.095909 (OH)

17404 BURKE ST STE 102, Omaha, NE 68118

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Other Identifiers 5

Medicaid10025724800NE

Medicaid10026135100NE

Medicaid1023394665IA

Medicaid47068731713NE

Medicaid10026454700NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Dr. John Moonkeun Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991960833

PECOS Enrollment IDI20120627000677, I20121119000019, I20260817002927

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 Reassignments

Medicare enrollment records show John Park reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Vascular Of Omaha LLC

Same address

Ambulatory Surgical

17410 BURKE ST STE 105
Omaha, NE 68118

Reassigned Medicare billing, Nebraska enrollment
5 clinicians in this Medicare group

NPI 1326551623 (314) 444-7575

Physicians Clinic Inc

6.1 mi

Family Medicine

10060 REGENCY CIR
Omaha, NE 68114

Reassigned Medicare billing, Iowa and Nebraska enrollments
162 clinicians in this Medicare group

NPI 1821049156 (402) 354-1500

Foot And Ankle Center Of Nebraska, P.C.

7.2 mi

Podiatrist

9006 OHIO ST STE 1
Omaha, NE 68134

Reassigned Medicare billing, Iowa and Nebraska enrollments
Medicare enrollment name: Foot And Ankle Center Of Nebraska PC
9 clinicians in this Medicare group

NPI 1730149246 (402) 391-7575

Healogics Specialty Physicians Of Iowa, LLC

18 mi

Undersea and Hyperbaric Medicine

933 E PIERCE ST
Council Bluffs, IA 51503

Reassigned Medicare billing, Iowa enrollment
6 clinicians in this Medicare group

NPI 1184041113 (904) 446-3701

Healogics Specialty Physicians Of Nebraska, LLC

81 mi

Undersea and Hyperbaric Medicine

2700 W NORFOLK AVE
Norfolk, NE 68701

Reassigned Medicare billing, Nebraska enrollment
6 clinicians in this Medicare group

NPI 1831575133 (402) 844-8135

Sage Medical Prof LLC

88 mi

Vascular Surgery

345 W STEAMBOAT DR STE 701
Dakota Dunes, SD 57049

Reassigned Medicare billing, Nebraska and South Dakota enrollments
7 clinicians in this Medicare group

NPI 1588156657 (319) 430-9340

Vascular & Interventional Radiology Of Siouxland

88 mi

Vascular Surgery

345 W STEAMBOAT DR STE 601
Dakota Dunes, SD 57049

Reassigned Medicare billing, Iowa, Nebraska and South Dakota enrollments
11 clinicians in this Medicare group

NPI 1225636129 (605) 217-5617

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

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

319 services265 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

270 services261 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

173 services167 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

153 services152 patients

Ultrasound of both sides of head and neck blood flow 93880

138 services137 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

109 services105 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

92 services92 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

60 services60 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

57 services51 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

53 services45 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

42 services39 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

41 services38 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

40 services18 patients

Ultrasound of leg arteries or artery grafts 93925

34 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services34 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

32 services30 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

28 services28 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

27 services27 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

24 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services17 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

23 services21 patients

Ultrasound of one leg arteries or artery grafts 93926

22 services22 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

22 services20 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

20 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

19 services11 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

14 services14 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

13 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

12 services11 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

11 services11 patients

Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery 37236

A stent insertion is a procedure to open up narrowed or blocked arteries. A small, mesh tube called a stent is placed in your artery to keep it open. The procedure is overseen by a radiologist who uses imaging for guidance. This is the initial artery treated.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161363

Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County

Emergency services

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161366

Location300 Pershing AvenueShenandoah, IA 51601 · Page County

Emergency services

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280081

Location6901 North 72nd StOmaha, NE 68122 · Douglas County

Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280130

Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68118 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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 5

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

DAVID L VOGEL MD

Surgery (Vascular Surgery)