CHARLES PARK MD
NPI 1972704096
Surgery in Klamath Falls, OR

Q: What is Charles Park's NPI number?

The NPI number for Charles Park is 1972704096. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Q: What is Charles 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 Charles Park was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 29, 2007PECOS EnrolledAccepts Medicare Assignment

2301 CLAIRMONT DR, KLAMATH FALLS, OR 97601(541) 274-2345(541) 274-6247 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2018, Feb 2, 2016, Dec 1, 2015 and 1 more (4 updates tracked since 2015).

On this page

About Charles Park Md NPPES

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

CHARLES PARK MD (NPI 1972704096) is an individual surgery provider in Klamath Falls, Oregon, licensed in Oregon (MD227125) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1972704096

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameCHARLES PARKCredential: MD

Location Address2301 CLAIRMONT DRKlamath Falls, OR 97601-7104

Mailing Address2865 Daggett Ave Fl 4Klamath Falls, OR 97601-1106 · (541) 274-2345 · Fax (541) 274-6247

Phone(541) 274-2345

Fax(541) 274-6247

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 29, 2007

Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1972704096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in OR · MD227125✔ Licensed in MA · 249748✔ Licensed in OH · 35.126455

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.

2301 CLAIRMONT DR, Klamath Falls, OR 97601

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Secondary Practice Location 1

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 475-8787 · Fax (513) 558-3136

Other Identifiers 1

Medicaid0151480OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Park Md 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 ID7719146471

PECOS Enrollment IDI20251008001313

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sky Lakes Medical Center Inc

0.2 mi

General Acute Care Hospital

2865 DAGGETT AVE
Klamath Falls, OR 97601

Reassigned Medicare billing, Oregon enrollment
355 clinicians in this Medicare group

NPI 1659340370 (541) 274-6221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380050

Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97601 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

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 Charles Park's NPI number?

The NPI number for Charles Park is 1972704096. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Charles Park located?

Charles Park practices at 2301 Clairmont Dr, Klamath Falls, OR 97601. The listed phone number is (541) 274-2345.

What is Charles Park's specialty?

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

Is Charles Park enrolled in Medicare?

Yes. Charles 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.

Which organization bills Medicare for Charles Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Park reassigns Medicare benefits to Sky Lakes Medical Center Inc (Klamath Falls, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Park accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Moda Health Plan, Inc. and 1 other insurer list Charles 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 Charles Park affiliated with any hospitals?

According to CMS data, Charles Park is affiliated with Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Park was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.