Jonathan J. Park, D.M.D.,M.D.
NPI 1114940905ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Fairfax, VA
Opted out of Medicare from April 2012 to April 2028. Dentist, Oral and Maxillofacial Surgery (D.M.D.,M.D.) in Fairfax, Virginia, licensed in VA, with an NPI issued in July 2006. Part D covered 222 prescriptions written in 2024, 100% of them generic. Zimvie Inc. reported $219.37 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1114940905 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D.,M.D. |
| Sole proprietor | No |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 0101221324 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2012 – Apr 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 222 · 222 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $866.72 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$219.37 · 2 payments from 1 company
- 2024$301.44 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $219.37 | 2 |
What the 2025 payments were for
- Food and Beverage$219.37 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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