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DR. SAE-YOON SHARON PARK MD
NPI 1265927321
Family Medicine in Abingdon, MD

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
3400 BOX HILL CORPORATE CENTER DR STE 100, ABINGDON, MD 21009(800) 777-7904 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 4, 2022, Jun 29, 2018 (2 updates tracked since 2018).

About Dr. Sae-yoon Sharon Park Md NPPES

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

DR. SAE-YOON SHARON PARK MD (NPI 1265927321) is an individual family medicine provider in Abingdon, Maryland, licensed in Maryland (D92535) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Michigan State University College Of Human Medicine (2016).

NPPES Registry Identity

NPI1265927321
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAE-YOON SHARON PARKCredential: MD
Location Address3400 BOX HILL CORPORATE CENTER DR STE 100Abingdon, MD 21009-1290
Mailing Address3400 Box Hill Corporate Center Dr Ste 100Abingdon, MD 21009-1290 · (410) 515-5440
Phone(800) 777-7904
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2016
Enumeration DateJune 29, 2018
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1265927321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D92535
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3400 BOX HILL CORPORATE CENTER DR STE 100, Abingdon, MD 21009
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sae-yoon Sharon Park Md 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 ID8628327954
PECOS Enrollment IDI20211215001096
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sae-yoon Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maryland Family Care, Inc.
20 mi
Family Medicine
301 SAINT PAUL PL, 12TH FLOOR MCAULEY TOWER
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 257 clinicians in this Medicare group
NPI 1598718256 (410) 500-5500
Tidalhealth Specialty Care, LLC
85 mi
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 531 clinicians in this Medicare group
NPI 1619504735 (410) 546-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
404 services176 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
52 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21009 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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

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

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Pharmacy (Managed Care Organization Pharmacy)
3400 BOX HILL CORPORATE CENTER DR STE 100
ABINGDON, MD 21009
Harford County (310) 816-2424

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 Sae-yoon Park's NPI number?

The NPI number for Sae-yoon Park is 1265927321. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Sae-yoon Park located?

Sae-yoon Park practices at 3400 Box Hill Corporate Center Dr Ste 100, Abingdon, MD 21009. The listed phone number is (800) 777-7904.

What is Sae-yoon Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sae-yoon Park enrolled in Medicare?

Yes. Sae-yoon 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.

Which organizations bill Medicare for Sae-yoon Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sae-yoon Park reassigns Medicare benefits to 2 organizations: Maryland Family Care, Inc. (Baltimore, MD) and Tidalhealth Specialty Care, LLC (Salisbury, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sae-yoon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sae-yoon Park affiliated with any hospitals?

According to CMS data, Sae-yoon Park is affiliated with Mercy Medical Center Inc, Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Sae-yoon Park was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.