JAE HYUNG PARK
NPI 1255727889
Pain Medicine - Interventional Pain Medicine in Sun City, AZ

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
39.6/100
CMS Quality Rating
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351(623) 777-4747 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Aug 4, 2020 (2 updates tracked since 2020).

About Jae Hyung Park NPPES

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

JAE HYUNG PARK (NPI 1255727889) is an individual interventional pain medicine provider in Sun City, Arizona, licensed in Arizona (59983) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Prescott, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255727889
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameJAE HYUNG PARK
Location Address13203 N 103RD AVE STE H5Sun City, AZ 85351-3032
Mailing Address5281 N 99th Ave Ste 100Glendale, AZ 85305-2209 · (623) 516-8252 · Fax (623) 516-8253
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1255727889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in AZ · 59983
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
13203 N 103RD AVE STE H5, Sun City, AZ 85351

Secondary Practice Location 1

Location 13110 Clearwater Dr Ste BPrescott, AZ 86305-7177 · Phone (623) 516-8252 · Fax (623) 516-8253

Accepted 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

Jae Hyung 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 ID7214210517
PECOS Enrollment IDI20200812000440
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 29

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.
2,811 services188 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
534 services407 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
122 services83 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
122 services72 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.
121 services110 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
111 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

39.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability82
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%1,805 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
77%1,999 patients4/55-star benchmark: 100%
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 13

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

Pain Medicine (Interventional Pain Medicine)
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Nurse Practitioner (Family)
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Nurse Practitioner (Family)
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Nurse Practitioner
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Clinic/Center (Pain)
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Nurse Practitioner (Adult Health)
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Physical Medicine & Rehabilitation (Pain Medicine)
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351
Physician Assistant
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351

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 Jae Hyung Park's NPI number?

The NPI number for Jae Hyung Park is 1255727889. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Jae Hyung Park located?

Jae Hyung Park practices at 13203 N 103rd Ave Ste H5, Sun City, AZ 85351. The listed phone number is (623) 777-4747.

What is Jae Hyung Park's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Jae Hyung Park enrolled in Medicare?

Yes. Jae Hyung 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 Jae Hyung Park accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Jae Hyung 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.

When was this NPI record last updated?

The NPPES record for Jae Hyung Park was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.