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DR. CHAN W. PARK M.D.
NPI 1720283153
Surgery in Honolulu, HI

Active since June 16, 2007PECOS EnrolledAccepts Medicare Assignment
86.27/100
CMS Quality Rating
1 JARRETT WHITE ROAD, DEPARTMENT OF SURGERY - 2 OCEANSIDE, HONOLULU, HI 96859(808) 433-1730 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chan W. Park M.d. NPPES

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

DR. CHAN W. PARK M.D. (NPI 1720283153) is an individual surgery provider in Honolulu, Hawaii, licensed in Hawaii (MD-16643) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2005).

NPPES Registry Identity

NPI1720283153
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CHAN W. PARKCredential: M.D.
Location Address1 JARRETT WHITE ROAD, DEPARTMENT OF SURGERY - 2 OCEANSIDEHonolulu, HI 96859
Mailing Address1650 Ala Moana Blvd Apt 913Honolulu, HI 96815-1464 · (808) 433-1730
Phone(808) 433-1730
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2005
Enumeration DateJune 16, 2007
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1720283153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in HI · MD-16643
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.
1 JARRETT WHITE ROAD, Honolulu, HI 96859
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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. Chan W. 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 ID3779752498
PECOS Enrollment IDI20190705000923
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.

Hospital Affiliations CMS Care Compare 2

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

86.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.87
Promoting Interoperability100
Improvement Activities40
Cost71.37

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.

DR. MARK RICHARD BAUS DDS
Dentist (Oral and Maxillofacial Surgery)
1 JARRETT WHITE ROAD, ATTN: MCDS-NH US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC, HI 96859
Honolulu County (808) 433-1021
DR. MATTHEW KAWABORI BRUNER DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1 JARRETT WHITE ROAD, ATTN: MCDS-NH US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC, HI 96859
Honolulu County (808) 433-1021
ANDREA AGCAOILI MILLS LCSW
Social Worker (Clinical)
1 JARRETT WHITE ROAD
HONOLULU, HI 96859
Honolulu County (808) 469-1685
MISS GINA THERESE CICERO M.D.
General Practice
1 JARRETT WHITE ROAD, TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859
Honolulu County (808) 433-6341
DR. DAVID ALLEN LANE M.D.
Military Health Care Provider
1 JARRETT WHITE ROAD, HEADQUARTERS UNIT, TRIPLER ARMY MEDICAL CENTER
HONOLULU, HI 96859
Honolulu County (808) 433-5781
MS. CAROL LOUISE MCCANN FNP
Nurse Practitioner (Family)
1 JARRETT WHITE ROAD, TRIPLER ARMY MEDICAL CENTER
HONOLULU, HI 96859
Honolulu County (808) 433-1713
DR. JULIAN WEI JIA MAK MD
Student in an Organized Health Care Education/Training Program
1 JARRETT WHITE ROAD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-2737
DR. KATHERINE DENISE PERCY D.O.
Emergency Medicine
1 JARRETT WHITE ROAD, TRIPLER ARMY MEDICAL CENTER
1 JARRETT WHITE ROAD, HI 96859
Honolulu County (808) 433-2778

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 Chan Park's NPI number?

The NPI number for Chan Park is 1720283153. It was assigned to this individual provider in the NPPES registry on June 16, 2007.

Where is Chan Park located?

Chan Park practices at 1 Jarrett White Road Department Of Surgery - 2 Oceanside, Honolulu, HI 96859. The listed phone number is (808) 433-1730.

What is Chan Park's specialty?

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

Is Chan Park enrolled in Medicare?

Yes. Chan 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 Chan Park accept?

Health plans from HMSA and Kaiser Permanente list Chan 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 Chan Park affiliated with any hospitals?

According to CMS data, Chan Park is affiliated with Hilo Medical Center and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.