LYDIA S. PARK D.O.
NPI 1871886531
Internal Medicine in Vancouver, WA

Active since May 27, 2011PECOS EnrolledAccepts Medicare Assignment
2529 NE 139TH ST STE 110, VANCOUVER, WA 98686(360) 882-2778 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia S. Park D.o. NPPES

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

LYDIA S. PARK D.O. (NPI 1871886531) is an individual internal medicine provider in Vancouver, Washington, licensed in Washington (OP61202686) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newburgh, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).

NPPES Registry Identity

NPI1871886531
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLYDIA S. PARKCredential: D.O.
Location Address2529 NE 139TH ST STE 110Vancouver, WA 98686-2719
Mailing AddressPo Box 4825Portland, OR 97208-4825 · (360) 882-2778 · Fax (845) 703-6297
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2011
Enumeration DateMay 27, 2011
Last NPPES UpdateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
NPI 1871886531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WA · OP61202686 Licensed in NY · 278095
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.
Also ListedPediatricsTaxonomy 208000000X · License 278095 (NY)
2529 NE 139TH ST STE 110, Vancouver, WA 98686

Secondary Practice Location 1

Location 11200 Route 300Newburgh, NY 12550-5003 · Phone (845) 703-6999 · Fax (845) 703-6297

Other Identifiers 1

Medicaid2201200WA

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

Lydia S. 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 ID9739495581
PECOS Enrollment IDI20211220000616
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 4

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 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.
55 services55 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.
32 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686
Physician Assistant
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686
Physician Assistant
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686
Physician Assistant
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686
Emergency Medicine
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686
Nurse Practitioner (Family)
2529 NE 139TH ST STE 110
VANCOUVER, WA 98686

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 Lydia Park's NPI number?

The NPI number for Lydia Park is 1871886531. It was assigned to this individual provider in the NPPES registry on May 27, 2011.

Where is Lydia Park located?

Lydia Park practices at 2529 NE 139th St Ste 110, Vancouver, WA 98686. The listed phone number is (360) 882-2778.

What is Lydia Park's specialty?

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

Is Lydia Park enrolled in Medicare?

Yes. Lydia 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 Lydia Park accept?

Health plans from Moda Health Plan, Inc. list Lydia 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 Lydia Park was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.