DR. ANTHONY J PARK MD
NPI 1417064742
Obstetrics & Gynecology in Racine, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
8400 WASHINGTON AVE, RACINE, WI 53406(262) 321-3000(262) 321-3122 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Apr 26, 2022 (2 updates tracked since 2022).

About Dr. Anthony J Park Md NPPES

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

DR. ANTHONY J PARK MD (NPI 1417064742) is an individual obstetrics & gynecology provider in Racine, Wisconsin, licensed in Wisconsin (37763) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1417064742
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ANTHONY J PARKCredential: MD
Location Address8400 WASHINGTON AVERacine, WI 53406
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Fax(262) 321-3122
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1417064742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 37763
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8400 WASHINGTON AVE, Racine, WI 53406

Other Names 1

Doing Business As (3)Anthony Joon Park

Other Identifiers 1

Medicaid32253600WI

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. Anthony J 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 ID4486848017
PECOS Enrollment IDI20101027001542
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 4

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 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.
55 services33 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Biopsy of lining of uterus 58100
A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Otolaryngology
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Pain Medicine (Interventional Pain Medicine)
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Medical Genetics (Clinical Genetics (M.D.))
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Nurse Practitioner
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406

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 Anthony Park's NPI number?

The NPI number for Anthony Park is 1417064742. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Anthony Joon Park.

Where is Anthony Park located?

Anthony Park practices at 8400 Washington Ave, Racine, WI 53406. The listed phone number is (262) 321-3000.

What is Anthony Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Park enrolled in Medicare?

Yes. Anthony 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 Anthony Park accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Anthony 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 Anthony Park affiliated with any hospitals?

According to CMS data, Anthony Park is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Anthony Park was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.