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JAE MAN PARK M.D.
NPI 1669628228
Internal Medicine in Garden Grove, CA

Active since August 14, 2008PECOS EnrolledAccepts Medicare Assignment
9535 GARDEN GROVE BLVD, SUITE 103, GARDEN GROVE, CA 92844(714) 534-1112(714) 534-1116 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jae Man Park M.d. NPPES

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

JAE MAN PARK M.D. (NPI 1669628228) is an individual internal medicine provider in Garden Grove, California, licensed in California (A105181) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669628228
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAE MAN PARKCredential: M.D.
Location Address9535 GARDEN GROVE BLVD, SUITE 103Garden Grove, CA 92844-1550
Mailing Address9535 Garden Grove Blvd, Suite 103Garden Grove, CA 92844-1550 · (714) 534-1112 · Fax (714) 534-1116
Phone(714) 534-1112
Fax(714) 534-1116
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 14, 2008
Last NPPES UpdateDecember 4, 2013
✔ NPI 1669628228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A105181
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9535 GARDEN GROVE BLVD, Garden Grove, CA 92844
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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

Jae Man 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 ID6103967328
PECOS Enrollment IDI20100111000482
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.
102 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
54 services29 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.
22 services22 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92844 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%4,354 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
99%952 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
56%785 patients3/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
98%785 patients4/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
99%981 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers14 claims30 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims13 services$0.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

REFORM24 MEDICAL GROUP INC
Family Medicine
9535 GARDEN GROVE BLVD, 102
GARDEN GROVE, CA 92844
Orange County (714) 534-1112
DR. KI HONG CHOE M.D.
Medical Genetics, Ph.D. Medical Genetics
9535 GARDEN GROVE BLVD, SUITE #103
GARDEN GROVE, CA 92844
Orange County (714) 892-2333
ORANGE COUNTY JOEUN MEDICAL GROUP INC
Family Medicine
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Orange County (714) 534-1112
MOHAMMAD ABUL-FIELAT DDS INC
Dentist (Pediatric Dentistry)
9535 GARDEN GROVE BLVD, STE #201
GARDEN GROVE, CA 92844
Orange County (714) 534-4644
ACE PHYSICAL THERAPY & REHAB, INC.
Physical Therapist
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Orange County (714) 590-0100
YONG H LEE D.O
Family Medicine
9535 GARDEN GROVE BLVD, 104
GARDEN GROVE, CA 92844
Orange County (562) 396-5126
BETHEL MEDICAL GROUP, INC.
Family Medicine
9535 GARDEN GROVE BLVD, SUITE 102
GARDEN GROVE, CA 92844
Orange County (714) 534-1112
RUSO
Dentist
9535 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844
Orange County (714) 855-1138

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 Jae Man Park's NPI number?

The NPI number for Jae Man Park is 1669628228. It was assigned to this individual provider in the NPPES registry on August 14, 2008.

Where is Jae Man Park located?

Jae Man Park practices at 9535 Garden Grove Blvd Suite 103, Garden Grove, CA 92844. The listed phone number is (714) 534-1112.

What is Jae Man Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jae Man Park enrolled in Medicare?

Yes. Jae Man 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 Jae Man Park was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.