PAUL W. PARK M.D.
NPI 1083670152
Ophthalmology in Los Angeles, CA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3055 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90010(213) 484-1000 Get Directions Write a Review

NPPES record last updated: March 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2022, Apr 29, 2017 (2 updates tracked since 2017).

About Paul W. Park M.d. NPPES

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

PAUL W. PARK M.D. (NPI 1083670152) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A91067) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1083670152
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL W. PARKCredential: M.D.
Location Address3055 WILSHIRE BLVD STE 100Los Angeles, CA 90010-1119
Mailing Address2 Columbus Ave Apt 23bNew York, NY 10023-6921 · (713) 385-0618
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateApril 26, 2006
Last NPPES UpdateMarch 2, 20242 updates tracked since enumeration
NPPES CertifiedMarch 2, 2024
NPI 1083670152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A91067
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 313820-01 (NY), 25MA11319300 (NJ)
3055 WILSHIRE BLVD STE 100, Los Angeles, CA 90010

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

Paul W. 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 ID3577591916
PECOS Enrollment IDI20050727001166
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 7

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
396 services236 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
97 services97 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
94 services94 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.
84 services84 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
39 services39 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90010 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Chiropractor
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010
Specialist
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010
Chiropractor
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010
Specialist
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010
Ophthalmology
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010
Ophthalmology (Retina Specialist)
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010
Acupuncturist
3055 WILSHIRE BLVD STE 100
LOS ANGELES, CA 90010

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 Paul Park's NPI number?

The NPI number for Paul Park is 1083670152. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Paul Park located?

Paul Park practices at 3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010. The listed phone number is (213) 484-1000.

What is Paul Park's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Park enrolled in Medicare?

Yes. Paul 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 Paul Park was last updated on March 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.