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In Soon Park, MD

NPI 1083646350ActiveIndividual· Surgery· Brandon, FL

Surgery (MD) in Brandon, Florida, trained at Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) (class of 1995). Mostly services rather than prescriptions: Medicare paid $59,879 for 166 patients in 2024, with only 44 Part D claims. Baxter Healthcare was the largest of 5 companies reporting payments in 2025, $602.05 in all, mostly food and beverage.

Overview

NPI1083646350
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 7, 2006
Last updated in NPPESAug 7, 2024
Certified by providerAug 7, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XME93268FL

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 - General Surgery (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients166
Services billed290 across 51 procedure codes
Paid by Medicare$59,879

Part D prescriptions in 2024

Prescriptions (claims)44 · 44 30-day fills
Patients19
Total drug cost$639.12
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Medical schoolRutgers R W Johnson Medical School (Cam/New Bruns/Pisc)
Graduation year1995
Medicare specialtyGeneral Surgery

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$602.05 · 8 payments from 5 companies
  • 2024$271.71 · 7 payments from 7 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$602.05 · 8 payments

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

Other general surgeons in Brandon

All 30 general surgeons in Brandon · All general surgeons in Florida