CHAN JEROME PARK MD, PHD
NPI 1932498722
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Las Vegas, NV

Q: What is Chan Park's NPI number?

The NPI number for Chan Park is 1932498722. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Q: What is Chan Park's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Chan Park was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 March 31, 2011PECOS EnrolledAccepts Medicare Assignment

80.21/100

CMS Quality Rating

7190 S CIMARRON RD, LAS VEGAS, NV 89113(702) 675-3240(702) 982-6347 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2021, May 20, 2021, Jun 11, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Chan Jerome Park Md, Phd NPPES

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

CHAN JEROME PARK MD, PHD (NPI 1932498722) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Las Vegas, Nevada, licensed in Nevada (20992) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and is a graduate of Harvard Medical School (2001).

NPPES Registry Identity

NPI1932498722

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameCHAN JEROME PARKCredential: MD, PHD

Location Address7190 S CIMARRON RDLas Vegas, NV 89113-2171

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(702) 675-3240

Fax(702) 982-6347

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2001

Enumeration DateMarch 31, 2011

Last NPPES UpdateOctober 30, 20244 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1932498722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in NV · 20992

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

7190 S CIMARRON RD, Las Vegas, NV 89113

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

Chan Jerome Park Md, Phd 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 ID4486949401

PECOS Enrollment IDI20210525000936

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 5

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.

48 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

39 services38 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290045

Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County

Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290053

Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

80.21/100

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

Scored as part of a group practice

Quality

77.19

Promoting Interoperability

Improvement Activities

Cost

59.34

Leave this field empty

Other Providers at the Same Location NPPES 11

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

MARYELLEN SPIKA PA-C

Physician Assistant (Surgical)