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JUN PARK M.D.
NPI 1043744279
Internal Medicine - Endocrinology, Diabetes & Metabolism in Sacramento, CA

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
4150 V STREET, PSSB, SUITE G400, SACRAMENTO, CA 95817(916) 734-8328(651) 333-4227 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2022, Sep 28, 2020, Dec 13, 2019 and 1 more (4 updates tracked since 2017).

About Jun Park M.d. NPPES

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

JUN PARK M.D. (NPI 1043744279) is an individual endocrinology, diabetes & metabolism provider in Sacramento, California, licensed in California (A169512) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2017).

NPPES Registry Identity

NPI1043744279
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJUN PARKCredential: M.D.
Location Address4150 V STREET, PSSB, SUITE G400Sacramento, CA 95817
Mailing Address8414 Naab RdIndianapolis, IN 46260-1972 · (317) 338-7510 · Fax (317) 733-7539
Phone(916) 734-8328
Fax(651) 333-4227
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateDecember 7, 20224 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1043744279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A169512
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4150 V STREET, PSSB, SUITE G400, Sacramento, CA 95817
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Other Names 1

Other Name (5)Jun Beom Park M.d.

Other Identifiers 1

OtherA169512CA · California State Medical License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jun Park M.d. 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 ID4284905969
PECOS Enrollment IDI20221028001553
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%515 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
56%107 patients3/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers29 claims29 services$191.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jun Park's NPI number?

The NPI number for Jun Park is 1043744279. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Jun Park located?

Jun Park practices at 4150 V Street, Pssb, Suite G400, Sacramento, CA 95817. The listed phone number is (916) 734-8328.

What is Jun Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jun Park enrolled in Medicare?

Yes. Jun Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jun Park was last updated on December 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.