JOE PARK M.D.
NPI 1083645832
Anesthesiology - Pain Medicine in Victorville, CA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
15447 W SAND ST, VICTORVILLE, CA 92392(760) 843-9679(760) 245-3618 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joe Park M.d. NPPES

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

JOE PARK M.D. (NPI 1083645832) is an individual pain medicine provider in Victorville, California, licensed in California (A86588) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1999).

NPPES Registry Identity

NPI1083645832
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameJOE PARKCredential: M.D.
Location Address15447 W SAND STVictorville, CA 92392-2904
Mailing Address15447 W Sand StVictorville, CA 92392-2904 · (760) 843-9679 · Fax (760) 245-3618
Fax(760) 245-3618
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1999
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1083645832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · A86588
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License A86588 (CA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License A86588 (CA)
15447 W SAND ST, Victorville, CA 92392

Other Identifiers 1

Medicaid00A865880CA

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

Joe 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 ID4688643604
PECOS Enrollment IDI20040927001172
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.

Areas of Expertise CMS Part B claims 26

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
5,556 services234 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.
1,207 services233 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
193 services127 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
146 services120 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
140 services111 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
134 services109 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.2
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%958 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%186 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,602 patients5/55-star benchmark: 100%
Functional Outcome Assessment
100%3,577 patients5/55-star benchmark: 100%
Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
100%89 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
98%330 patients5/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES

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

Anesthesiology (Pain Medicine)
15447 W SAND ST
VICTORVILLE, CA 92392

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 Joe Park's NPI number?

The NPI number for Joe Park is 1083645832. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Joe Park located?

Joe Park practices at 15447 W Sand St, Victorville, CA 92392. The listed phone number is (760) 843-9679.

What is Joe Park's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Joe Park enrolled in Medicare?

Yes. Joe 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 Joe Park was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.