DR. CLINTON SANGKYU PARK M.D.
NPI 1295932242
Radiology - Radiation Oncology in Fort Worth, TX

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
500 S HENDERSON ST STE 200, FORT WORTH, TX 76104(817) 413-1500(817) 413-1499 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Clinton Sangkyu Park M.d. NPPES

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

DR. CLINTON SANGKYU PARK M.D. (NPI 1295932242) is an individual radiation oncology provider in Fort Worth, Texas, licensed in Texas (N3228) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295932242
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. CLINTON SANGKYU PARKCredential: M.D.
Location Address500 S HENDERSON ST STE 200Fort Worth, TX 76104-2154
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2987
Fax(817) 413-1499
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 2, 2007
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
NPI 1295932242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in TX · N3228
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License BP10022820 (TX)
500 S HENDERSON ST STE 200, Fort Worth, TX 76104

Other Identifiers 4

Medicaid202476201TX
Other8CA240TX · Bluecross Blueshield Of Texas
Medicaid202476202TX
OtherP00764078TX · Railroad Medicare

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

Dr. Clinton Sangkyu Park M.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.

PECOS PAC ID4789734641
PECOS Enrollment IDI20090615000607
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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
20,794 services175 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
195 services51 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
185 services148 patients
Piflufolastat f-18, diagnostic, 1 millicurie A9595
Piflufolastat F-18 is a radioactive diagnostic agent used in PET scans. It helps visualize certain cells in your body, aiding doctors in diagnosing specific conditions. This service involves injecting 1 millicurie of the agent into your body.
171 services19 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
148 services117 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
130 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Radiation Oncology)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Nurse Practitioner (Family)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Internal Medicine (Hematology & Oncology)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Nurse Practitioner (Family)
500 S HENDERSON ST STE 200
FT WORTH, TX 76104
Nurse Practitioner (Family)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Physician Assistant
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Physician Assistant
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Internal Medicine (Hematology & Oncology)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104

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 Clinton Park's NPI number?

The NPI number for Clinton Park is 1295932242. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Clinton Park located?

Clinton Park practices at 500 S Henderson St Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 413-1500.

What is Clinton Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Clinton Park enrolled in Medicare?

Yes. Clinton 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 Clinton Park accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Clinton 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.

Is Clinton Park affiliated with any hospitals?

According to CMS data, Clinton Park is affiliated with Texas Health Harris Methodist Hospital Fort Worth and Medical City Fort Worth.

When was this NPI record last updated?

The NPPES record for Clinton Park was last updated on December 9, 2021. 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.