DR. KO UN PARK M.D.
NPI 1639430614
Surgery in Boston, MA

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Feb 28, 2023, Mar 17, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Ko Un Park M.d. NPPES

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

DR. KO UN PARK M.D. (NPI 1639430614) is an individual surgery provider in Boston, Massachusetts, licensed in Massachusetts (1013268) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639430614
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KO UN PARKCredential: M.D.
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2012
Enumeration DateJune 6, 2012
Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1639430614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MA · 1013268
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 35134532 (OH)
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Locations 2

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 724-0498
Location 21145 Olentangy River RdColumbus, OH 43212-3117 · Phone (614) 293-4040 · Fax (614) 293-3465

Other Identifiers 1

Medicaid0308730OH

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. Ko Un 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 ID6406088525
PECOS Enrollment IDI20230307000099
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.

X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
46 services42 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
43 services38 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.
35 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
17 services17 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Ko Un Park's NPI number?

The NPI number for Ko Un Park is 1639430614. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Ko Un Park located?

Ko Un Park practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Ko Un Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ko Un Park enrolled in Medicare?

Yes. Ko Un 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 Ko Un Park accept?

Health plans from Anthem Blue Cross and Blue Shield list Ko Un 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 Ko Un Park affiliated with any hospitals?

According to CMS data, Ko Un Park is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Ko Un Park was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.