Ko Un Park, M.D.
NPI 1639430614 · Surgery Physician · Boston, MA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ko Un Park, M.D. is a Surgery Physician provider in Boston, MA (NPI 1639430614).
Provider details
- NPI number
- 1639430614
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 35134532 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
203 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Surgical Specimen76098 | 46 | $16 |
| Partial Removal of Breast19301 | 43 | $676 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 35 | $148 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 29 | $190 |
| Biopsy Or Removal of Deep Lymph Nodes of Underarm38525 | 17 | $235 |
| Imaging of Lymph Nodes During Surgery38900 | 17 | $141 |
Practice location
Mailing address
Additional practice locations (2)
- 55 Fruit StBoston, MA 02114-2696Phone: (617) 724-0498
- 1145 Olentangy River RdColumbus, OH 43212-3117Phone: (614) 293-4040Fax: (614) 293-3465
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Ko Un Park's NPI number?
- Ko Un Park's National Provider Identifier (NPI) is 1639430614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ko Un Park's specialty?
- Ko Un Park is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ko Un Park located?
- Ko Un Park's practice location on file with NPPES is 75 Francis St, Boston, MA 02115-6110.
- What is Ko Un Park's phone number?
- The practice phone number listed in the NPPES registry for Ko Un Park is (617) 732-5500.
- Does Ko Un Park accept Medicare?
- Ko Un Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ko Un Park's NPI active?
- Yes — Ko Un Park's NPI (1639430614) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.