TIMOTHY PARK M.D.
NPI 1932494655
Surgery in Charlotte, NC

Q: What is Timothy Park's NPI number?

The NPI number for Timothy Park is 1932494655. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Q: What is Timothy Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Park was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2025, Oct 12, 2021, Oct 1, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Timothy Park M.d. NPPES

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

TIMOTHY PARK M.D. (NPI 1932494655) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (2021-00319) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Tulane University School Of Medicine (2011).

NPPES Registry Identity

NPI1932494655

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTIMOTHY PARKCredential: M.D.

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address2817 Rock Merritt Ave Stop AFort Bragg, NC 28310-0001

Phone(704) 355-2000

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2011

Enumeration DateJune 9, 2011

Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1932494655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NC · 2021-00319

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.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

Timothy Park M.d. 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 ID3173857430

PECOS Enrollment IDI20210903001983

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.

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

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