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DR. DEREK PARK M.D., D.D.S.
NPI 1770826406
Dentist - Oral and Maxillofacial Surgery in Foster City, CA

Active since April 01, 2013PECOS Enrolled
581 FOSTER CITY BLVD, FOSTER CITY, CA 94404(650) 286-9999 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2022, Jul 20, 2020 (2 updates tracked since 2020).

About Dr. Derek Park M.d., D.d.s. NPPES

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

DR. DEREK PARK M.D., D.D.S. (NPI 1770826406) is an individual oral and maxillofacial surgery provider in Foster City, California, licensed in California (59748) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770826406
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DEREK PARKCredential: M.D., D.D.S.
Location Address581 FOSTER CITY BLVDFoster City, CA 94404-1695
Mailing Address581 Foster City BlvdFoster City, CA 94404-1695 · (650) 286-9999
Phone(650) 286-9999
Sole ProprietorYes
Enumeration DateApril 1, 2013
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1770826406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 59748
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
581 FOSTER CITY BLVD, Foster City, CA 94404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12118 McKee RdSan Jose, CA 95116-1427 · Phone (408) 272-2322
Location 21200 Scott Blvd Ste 1Santa Clara, CA 95050-4555 · Phone (408) 248-9597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Park M.d., D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California Sfgh Medical Group
15 mi
Endocrinology, Diabetes & Metabolism
2540 23RD ST, 2ND FLOOR, ROOM 2110
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 637 clinicians in this Medicare group
NPI 1265407381 (415) 514-9031
Ucsf Oral & Maxillofacial Surgery
17 mi
Oral & Maxillofacial Surgery
513 PARNASSUS AVE, BOX 0476
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1679652598 (415) 476-3242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94404 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 17

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

KELLEY NGUYEN
Dentist (General Practice)
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
ZAINAB HAKIM
Dentist
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
ROBERT DAVID VERBOIS DDS
Dentist
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
TONY CAI
Dentist (General Practice)
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
BARBARA BAUM
Dentist (General Practice)
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
BAHAREH FATEMI DMD
Dentist (General Practice)
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
DR. MATTHEW DAVID HASHIMOTO DDS
Dentist (Orofacial Pain)
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999
KATRINA M POLONSKY DMD
Dentist
581 FOSTER CITY BLVD
FOSTER CITY, CA 94404
San Mateo County (650) 286-9999

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 Derek Park's NPI number?

The NPI number for Derek Park is 1770826406. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Derek Park located?

Derek Park practices at 581 Foster City Blvd, Foster City, CA 94404. The listed phone number is (650) 286-9999.

What is Derek Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Derek Park enrolled in Medicare?

Yes. Derek Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Park reassigns Medicare benefits to 2 organizations: University Of California Sfgh Medical Group (San Francisco, CA) and Ucsf Oral & Maxillofacial Surgery (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Park was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.