SAMUEL WAN PARK MD
NPI 1710181854
Orthopaedic Surgery in Mission Viejo, CA

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
83.64/100
CMS Quality Rating
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691(949) 364-2154(949) 496-8872 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2020, May 24, 2018 (2 updates tracked since 2018).

About Samuel Wan Park Md NPPES

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

SAMUEL WAN PARK MD (NPI 1710181854) is an individual orthopaedic surgery provider in Mission Viejo, California, licensed in California (A96320) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1710181854
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSAMUEL WAN PARKCredential: MD
Location Address26730 CROWN VALLEY PKWY, SUITE 200Mission Viejo, CA 92691
Mailing Address26730 Crown Valley Pkwy, Suite 200Mission Viejo, CA 92691-6364 · (949) 364-2154 · Fax (949) 496-8872
Fax(949) 496-8872
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateJune 13, 2007
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
NPI 1710181854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A96320
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
26730 CROWN VALLEY PKWY, Mission Viejo, CA 92691

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

Samuel Wan 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 ID8022201144
PECOS Enrollment IDI20111004000505
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 26

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328
Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.
8,064 services13 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
527 services132 patients
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.
480 services355 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
474 services32 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
445 services35 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.
437 services317 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

83.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.96
Improvement Activities40
Cost54.73

Reported Quality Measures

Documentation of Current Medications in the Medical Record
28%980 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
46%494 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
12%712 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 50% · 307 patients
49%307 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 522 patients
Patients totalRate: 0% · 522 patients
0%522 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers51 claims51 services$39.72 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier271 claims271 services$61.30 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier14 claims18 services$113.98 avg. paid by Medicare
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686
DME-Orthotic Devices · category DF000N
3 suppliers12 claims12 services$955.06 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier25 claims25 services$291.85 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 17

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

Orthopaedic Surgery
26730 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Orthopaedic Surgery (Sports Medicine)
26730 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Orthopaedic Surgery (Hand Surgery)
26730 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Orthopaedic Surgery
26730 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Orthopaedic Surgery
26730 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Radiology (Vascular & Interventional Radiology)
26730 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Physician Assistant (Surgical)
26730 CROWN VALLEY PKWY, SUITE 200
MISSION VIEJO, CA 92691
Orthopaedic Surgery
26730 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691

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 Samuel Park's NPI number?

The NPI number for Samuel Park is 1710181854. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Samuel Park located?

Samuel Park practices at 26730 Crown Valley Pkwy Suite 200, Mission Viejo, CA 92691. The listed phone number is (949) 364-2154.

What is Samuel Park's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Samuel Park enrolled in Medicare?

Yes. Samuel 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 Samuel Park was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.