1. Home
  2. Directory
  3. Oregon
  4. Beaverton
  5. Internal Medicine
  6. NPI Profile

JAE O PARK MD
NPI 1780621805
Internal Medicine in Beaverton, OR

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
14455 SW ALLEN BLVD, SUITE 101, BEAVERTON, OR 97005(503) 643-2120(503) 643-1034 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jae O Park Md NPPES

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

JAE O PARK MD (NPI 1780621805) is an individual internal medicine provider in Beaverton, Oregon, licensed in Oregon (MD13752) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1780621805
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAE O PARKCredential: MD
Location Address14455 SW ALLEN BLVD, SUITE 101Beaverton, OR 97005-4428
Mailing Address12750 Sw 2nd St, Ste 101Beaverton, OR 97005-2779 · (503) 643-2120 · Fax (503) 643-1034
Phone(503) 643-2120
Fax(503) 643-1034
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 24, 2017
✔ NPI 1780621805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD13752
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.
14455 SW ALLEN BLVD, Beaverton, OR 97005
Open in Google Maps ↗

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 O 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 ID4789842345
PECOS Enrollment IDI20120228000765
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 3

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 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.
90 services35 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
67 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.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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
7 suppliers16 claims32 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims12 services$0.88 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 4

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

ZHEN GU
Acupuncturist
14455 SW ALLEN BLVD
BEAVERTON, OR 97005
Washington County (503) 844-2715
DR. ANDREI M MIHAILESCU DMD
Dentist (General Practice)
14455 SW ALLEN BLVD, SUITE 103
BEAVERTON, OR 97005
Washington County (503) 646-2273
MRS. ESTHER C OH
Denturist
14455 SW ALLEN BLVD
BEAVERTON, OR 97005
Washington County (503) 526-0651
CHU-FONG HUANG LAC
Acupuncturist
14455 SW ALLEN BLVD
BEAVERTON, OR 97005
Washington County (503) 844-2715

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 Park's NPI number?

The NPI number for Jae Park is 1780621805. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jae Park located?

Jae Park practices at 14455 SW Allen Blvd Suite 101, Beaverton, OR 97005. The listed phone number is (503) 643-2120.

What is Jae Park's specialty?

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

Is Jae Park enrolled in Medicare?

Yes. Jae 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.

Is Jae Park affiliated with any hospitals?

According to CMS data, Jae Park is affiliated with Providence St Vincent Medical Center and Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Jae Park was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.