DR. JAEHYEON PARK MD
NPI 1447802681
Family Medicine in Rolla, MO

Active since July 09, 2019PECOS Enrolled
1605 MARTIN SPRINGS DR STE 230, ROLLA, MO 65401(573) 458-6326 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 22, 2022, Jul 9, 2019 (2 updates tracked since 2019).

About Dr. Jaehyeon Park Md NPPES

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

DR. JAEHYEON PARK MD (NPI 1447802681) is an individual family medicine provider in Rolla, Missouri, licensed in Missouri (2022025511) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1447802681
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAEHYEON PARKCredential: MD
Location Address1605 MARTIN SPRINGS DR STE 230Rolla, MO 65401-2980
Mailing Address1605 Martin Springs Dr Ste 230Rolla, MO 65401-2980 · (573) 458-6326
Sole ProprietorNo
Enumeration DateJuly 9, 2019
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1447802681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2022025511✔ Licensed in IL · 125-075031
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.
1605 MARTIN SPRINGS DR STE 230, Rolla, MO 65401

Secondary Practice Location 1

Location 1102 W Kenwood Ave Ste 100Decatur, IL 62526-4379 · Phone (217) 872-3800 · Fax (217) 872-0849

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 (PECOS)

Dr. Jaehyeon Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.
174 services118 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.
69 services54 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.
68 services68 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.
18 services18 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 4

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

Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401
Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401
Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401
Internal Medicine
1605 MARTIN SPRINGS DR STE 230
ROLLA, MO 65401

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 Jaehyeon Park's NPI number?

The NPI number for Jaehyeon Park is 1447802681. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Jaehyeon Park located?

Jaehyeon Park practices at 1605 Martin Springs Dr Ste 230, Rolla, MO 65401. The listed phone number is (573) 458-6326.

What is Jaehyeon Park's specialty?

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

Is Jaehyeon Park enrolled in Medicare?

Yes. Jaehyeon Park is registered in the Medicare PECOS enrollment system.

What insurance does Jaehyeon Park accept?

Health plans from Medica list Jaehyeon 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 Jaehyeon Park was last updated on July 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.