DR. HYUNSOON EDIE PARK MD
NPI 1467418764
Psychiatry & Neurology - Psychiatry in Fayetteville, AR

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.24/100
CMS Quality Rating
1100 N COLLEGE AVE, VETERANS HEALTH CARE SYSTEM OF THE OZARKS, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hyunsoon Edie Park Md NPPES

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

DR. HYUNSOON EDIE PARK MD (NPI 1467418764) is an individual psychiatry provider in Fayetteville, Arkansas, licensed in North Carolina (200200581) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (1994).

NPPES Registry Identity

NPI1467418764
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. HYUNSOON EDIE PARKCredential: MD
Location Address1100 N COLLEGE AVE, VETERANS HEALTH CARE SYSTEM OF THE OZARKSFayetteville, AR 72703-1944
Mailing Address4105 Treetops CirWinterville, NC 28590-9221 · (252) 412-0542
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1994
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 23, 2009
NPI 1467418764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NC · 200200581
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1100 N COLLEGE AVE, Fayetteville, AR 72703

Other Identifiers 3

Medicare UPINI00099NC
Medicaid5900452NC
Medicare ID-Type Unspecified2024028BNC

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. Hyunsoon Edie 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 ID1951206770
PECOS Enrollment IDI20221205002417
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

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
101 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$157.74 typical visit price
range $51.36 – $157.74
Typical copayment $39.43 (range $12.84 – $39.43)
Most-billed visit code 99205
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

84.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.91
Promoting Interoperability98
Improvement Activities40
Cost67.56

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.

Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

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 Hyunsoon Park's NPI number?

The NPI number for Hyunsoon Park is 1467418764. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Hyunsoon Park located?

Hyunsoon Park practices at 1100 N College Ave Veterans Health Care System Of The Ozarks, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Hyunsoon Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Hyunsoon Park enrolled in Medicare?

Yes. Hyunsoon 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.

When was this NPI record last updated?

The NPPES record for Hyunsoon Park was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.