JUNGWON GENEVIEVE PARK M.D., PH.D.
NPI 1285080846
Surgery - Plastic and Reconstructive Surgery in Wenatchee, WA
About Jungwon Genevieve Park M.d., Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUNGWON GENEVIEVE PARK M.D., PH.D. (NPI 1285080846) is an individual plastic and reconstructive surgery provider in Wenatchee, Washington, licensed in Washington (MD61297103) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of University Of Colorado School Of Medicine, Aurora (2016).
NPPES Registry Identity
Specialties & Licenses
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
Jungwon Genevieve Park M.d., Ph.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.
Medicare Billing Reassignments
2Medicare enrollment records show Jungwon Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wenatchee, WA 98801
- Reassigned Medicare billing, Washington enrollment
Chelan, WA 98816
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Chelan County Public Hospital District No 2
- Also billed through NPI 1578568853 (Washington)
- 154 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Confluence Health Hospital
Acute Care Hospitals · Wenatchee, WALake Chelan Community Hospital
Critical Access Hospitals · Chelan, WAMedicare 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WENATCHEE, WA 98801
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 Jungwon Park's NPI number?
The NPI number for Jungwon Park is 1285080846. It was assigned to this individual provider in the NPPES registry on May 12, 2016.
Where is Jungwon Park located?
Jungwon Park practices at 14 N Mission St Ste 201, Wenatchee, WA 98801. The listed phone number is (509) 596-0096.
What is Jungwon Park's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Jungwon Park enrolled in Medicare?
Yes. Jungwon 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 Jungwon Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jungwon Park reassigns Medicare benefits to 2 organizations: Cascadian Plastic Surgery PLLC (Wenatchee, WA) and Chelan County Public Hospital Dist No 2 (Chelan, WA). 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 Jungwon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jungwon Park affiliated with any hospitals?
According to CMS data, Jungwon Park is affiliated with Confluence Health Hospital and Lake Chelan Community Hospital.
When was this NPI record last updated?
The NPPES record for Jungwon Park was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jungwon Genevieve Park, M.D., PH.D. · NPI 1285080846
Plastic and Reconstructive Surgery physician in Wenatchee, Washington. Individual provider, active in the CMS NPPES registry since May 12, 2016.
## Identity
- **NPI:** 1285080846 (Entity type: Individual)
- **Enumerated:** May 12, 2016
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** MD61297103 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 N MISSION ST STE 201, Wenatchee, WA 98801-2250
- **Phone:** (509) 596-0096 · **Fax:** (509) 596-0225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cascadian Plastic Surgery PLLC (NPI 1396447876, Wenatchee, WA); Chelan County Public Hospital Dist No 2 (NPI 1831358696, Chelan, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Aurora, class of 2016
## Record status
- **NPPES last updated:** April 8, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1285080846) · Data from the CMS NPPES public registry.