BENJAMIN PARK M.D.
NPI 1144239740
Preventive Medicine - Aerospace Medicine in Wpafb, OH

Q: What is Benjamin Park's NPI number?

The NPI number for Benjamin Park is 1144239740. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Benjamin Park's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Park was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2006PECOS Enrolled

4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 255-4809 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2025, Jun 3, 2025, May 23, 2018 (3 updates tracked since 2018).

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About Benjamin Park M.d. NPPES

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

BENJAMIN PARK M.D. (NPI 1144239740) is an individual aerospace medicine provider in Wpafb, Ohio, licensed in Indiana (01062522A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144239740

Entity TypeIndividualMale

Primary Taxonomy2083A0100X

Provider Legal NameBENJAMIN PARKCredential: M.D.

Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529

Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 255-4809

Phone(937) 255-4809

Sole ProprietorNo

Enumeration DateAugust 5, 2006

Last NPPES UpdateJune 9, 20253 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1144239740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0100X

License✔ Licensed in IN · 01062522A

Definition

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 01062522A (IN)

4881 SUGAR MAPLE DR, Wpafb, OH 45433

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 45433 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.