EDWARD SUNG BAE PAK
NPI 1194353920
Emergency Medicine in Clackamas, OR

Q: What is Edward Pak's NPI number?

The NPI number for Edward Pak is 1194353920. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Edward Pak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Pak was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, May 16, 2024, Mar 28, 2020 (3 updates tracked since 2020).

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About Edward Sung Bae Pak NPPES

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

EDWARD SUNG BAE PAK (NPI 1194353920) is an individual emergency medicine provider in Clackamas, Oregon, licensed in Oregon (MD219369) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1194353920

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameEDWARD SUNG BAE PAK

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2020

Enumeration DateMarch 28, 2020

Last NPPES UpdateMay 15, 20263 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1194353920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OR · MD219369✔ Licensed in WA · MD70092676

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Secondary Practice Location 1

Location 11460 G StSpringfield, OR 97477-4112 · Phone (541) 726-4400

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

Edward Sung Bae Pak 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 ID7315489580

PECOS Enrollment IDI20240604002060

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

48 services47 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 20

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

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology