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THOMAS YOON PARK
NPI 1073253639
Family Medicine in Shepherdstown, WV

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
60 MACLAINE WAY, SHEPHERDSTOWN, WV 25443(304) 876-6343 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Thomas Yoon Park NPPES

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

THOMAS YOON PARK (NPI 1073253639) is an individual family medicine provider in Shepherdstown, West Virginia, licensed in West Virginia (35168) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073253639
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS YOON PARK
Location Address60 MACLAINE WAYShepherdstown, WV 25443-1667
Mailing Address60 Maclaine WayShepherdstown, WV 25443-1667 · (304) 876-6343
Phone(304) 876-6343
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 31, 2022
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1073253639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 35168
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
60 MACLAINE WAY, Shepherdstown, WV 25443
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

Thomas Yoon Park 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 ID8325548035
PECOS Enrollment IDI20250826001714
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.

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25443 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 2

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

JILLIAN T EMMERICH
Nurse Practitioner (Family)
60 MACLAINE WAY
SHEPHERDSTOWN, WV 25443
Jefferson County (304) 876-6343
LESLIE DANIELLE BAUGHER STINE CRNP - FAMILY
Nurse Practitioner (Family)
60 MACLAINE WAY
SHEPHERDSTOWN, WV 25443
Jefferson County (304) 876-6343

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 Thomas Park's NPI number?

The NPI number for Thomas Park is 1073253639. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Thomas Park located?

Thomas Park practices at 60 Maclaine Way, Shepherdstown, WV 25443. The listed phone number is (304) 876-6343.

What is Thomas Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Park enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Park accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Thomas Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Park affiliated with any hospitals?

According to CMS data, Thomas Park is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Park was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.