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Sohyun Park, PA-C

NPI 1043957210ActiveIndividual· Physician Assistant· Corvallis, OR

Physician Assistant (PA-C) with The Corvallis Clinic P C, practicing in Corvallis, Oregon. Mostly services rather than prescriptions: Medicare paid $12,084 for 153 patients in 2024, with only 33 Part D claims.

Overview

NPI1043957210
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 18, 2022
Last updated in NPPESSep 28, 2026
Certified by providerSep 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA217795OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (OR)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients153
Services billed473 across 15 procedure codes
Paid by Medicare$12,084

Part D prescriptions in 2024

Prescriptions (claims)33 · 47 30-day fills
Patients19
Total drug cost$836.80
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Corvallis

All 77 physician assistants in Corvallis · All physician assistants in Oregon