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MICHAEL PARK
NPI 1790724904
Physician Assistant - Medical in Pinehurst, NC

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
30 MEMORIAL DR, SUITE 3950, PINEHURST, NC 28374(910) 295-4400 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Park NPPES

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

MICHAEL PARK (NPI 1790724904) is an individual medical provider in Pinehurst, North Carolina, licensed in North Carolina (103478) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790724904
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL PARK
Location Address30 MEMORIAL DR, SUITE 3950Pinehurst, NC 28374-8707
Mailing Address30 Memorial Dr, Suite 3950Pinehurst, NC 28374-8707
Phone(910) 295-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 24, 2021
✔ NPI 1790724904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 103478
30 MEMORIAL DR, Pinehurst, NC 28374
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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

Michael Park 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 ID7911934211
PECOS Enrollment IDI20090424000271
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 6

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.

Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
61 services52 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
49 services44 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
48 services41 patients
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573
This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.
33 services30 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
29 services25 patients
Replacement of tunneled central venous tube 36581
A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

EMILY LANCE AVERBOOK MD
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400
PINEHURST RADIOLOGY ASSOCIATES
Specialist
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400
SOLEDAD C GRIFFIN MD
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400
FARHAD YAZDI MD
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (757) 822-3836
ALLEN M JOSEPH MD
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400
JOHN P ROBERSON MD
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400
DR. MICHELLE GARRIS ROBERSON MD
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400
FIRST IMAGING OF THE CAROLINAS
Physiological Laboratory
30 MEMORIAL DR
PINEHURST, NC 28374
Moore County (910) 295-4400

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 Michael Park's NPI number?

The NPI number for Michael Park is 1790724904. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Michael Park located?

Michael Park practices at 30 Memorial Dr Suite 3950, Pinehurst, NC 28374. The listed phone number is (910) 295-4400.

What is Michael Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Park enrolled in Medicare?

Yes. Michael 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 Michael Park affiliated with any hospitals?

According to CMS data, Michael Park is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Michael Park was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.