DR. SAE-LYOUNG PARK D.P.M.
NPI 1609141373
Podiatrist - Foot & Ankle Surgery in Flushing, NY

Active since March 14, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
143-08 ROOSEVELT AVE., APT L4, FLUSHING, NY 11354(718) 939-3220(718) 939-3440 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sae-lyoung Park D.p.m. NPPES

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

DR. SAE-LYOUNG PARK D.P.M. (NPI 1609141373) is an individual foot & ankle surgery provider in Flushing, New York, licensed in New York (N006468) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1609141373
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SAE-LYOUNG PARKCredential: D.P.M.
Location Address143-08 ROOSEVELT AVE., APT L4Flushing, NY 11354
Mailing Address143-08 Roosevelt Ave., Apt L4Flushing, NY 11354 · (718) 939-3220 · Fax (718) 939-3440
Fax(718) 939-3440
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 14, 2012
Last NPPES UpdateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
NPI 1609141373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · N006468
143-08 ROOSEVELT AVE., Flushing, NY 11354

Other Identifiers 2

Medicaid03581459NY
Other1609141373NY · Medicare

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. Sae-lyoung Park D.p.m. 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 ID1658517735
PECOS Enrollment IDI20130416000145
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 7

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.

Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
355 services138 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.
151 services114 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
146 services55 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
115 services44 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
91 services40 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
79 services40 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.33
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%772 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%368 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
99%368 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,140 patients5/55-star benchmark: 100%
Falls: Plan of Care
86%28 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,009 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,009 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,009 patients
Patients screened: 100% · 71 patients
100%1,009 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sae-lyoung Park's NPI number?

The NPI number for Sae-lyoung Park is 1609141373. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Sae-lyoung Park located?

Sae-lyoung Park practices at 143-08 Roosevelt Ave. Apt L4, Flushing, NY 11354. The listed phone number is (718) 939-3220.

What is Sae-lyoung Park's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Sae-lyoung Park enrolled in Medicare?

Yes. Sae-lyoung 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 Sae-lyoung Park was last updated on August 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.