DR. PETER K PARK D.O.
NPI 1831650043
Physical Medicine & Rehabilitation - Pain Medicine in Olympia, WA

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
3909 9TH AVE SW, OLYMPIA, WA 98502(360) 570-3460 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2024, Jun 19, 2023, Jun 17, 2020 (3 updates tracked since 2020).

About Dr. Peter K Park D.o. NPPES

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

DR. PETER K PARK D.O. (NPI 1831650043) is an individual pain medicine provider in Olympia, Washington, licensed in Washington (OP61483972) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2019).

NPPES Registry Identity

NPI1831650043
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. PETER K PARKCredential: D.O.
Location Address3909 9TH AVE SWOlympia, WA 98502-5134
Mailing Address3909 9th Ave SwOlympia, WA 98502-5134 · (314) 362-5000
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1831650043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in WA · OP61483972
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 2023000432 (MO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2020011741 (MO)
3909 9TH AVE SW, Olympia, WA 98502

Accepted 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. Peter K Park D.o. 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 ID8729315510
PECOS Enrollment IDI20240612004056
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 19

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,531 services129 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
303 services231 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
245 services245 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.
195 services149 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
107 services98 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
91 services86 patients

Hospital Affiliations CMS Care Compare 4

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

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Other Providers at the Same Location NPPES 18

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

Physician Assistant (Medical)
3909 9TH AVE SW
OLYMPIA, WA 98502
Anesthesiology (Pain Medicine)
3909 9TH AVE SW
OLYMPIA, WA 98502
Durable Medical Equipment & Medical Supplies
3909 9TH AVE SW
OLYMPIA, WA 98502
Pain Medicine (Interventional Pain Medicine)
3909 9TH AVE SW
OLYMPIA, WA 98502
Physician Assistant
3909 9TH AVE SW
OLYMPIA, WA 98502
Orthopaedic Surgery
3909 9TH AVE SW
OLYMPIA, WA 98502
Physical Medicine & Rehabilitation
3909 9TH AVE SW
OLYMPIA, WA 98502
Neurological Surgery
3909 9TH AVE SW
OLYMPIA, WA 98502

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 Peter Park's NPI number?

The NPI number for Peter Park is 1831650043. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Peter Park located?

Peter Park practices at 3909 9th Ave SW, Olympia, WA 98502. The listed phone number is (360) 570-3460.

What is Peter Park's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Peter Park enrolled in Medicare?

Yes. Peter 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 Peter Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Peter 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 Peter Park affiliated with any hospitals?

According to CMS data, Peter Park is affiliated with Grays Harbor Community Hospital, Capital Medical Center, Summit Pacific Medical Center and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Peter Park was last updated on June 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.