Frederick Kim Park, M.D.
NPI 1407964547ActiveIndividual· Plastic Surgery· Rocky Mount, NC
Plastic Surgery (M.D.) in Rocky Mount, North Carolina, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1983). Mostly services rather than prescriptions: Medicare paid $202,408 for 508 patients in 2024, with only 18 Part D claims.
Overview
| NPI | 1407964547 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 28, 2006 |
| Last updated in NPPES | Aug 11, 2025 |
| Certified by provider | Aug 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 36793 | NC |
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) | Enrolled Practitioner - Plastic and Reconstructive Surgery (NC); Practitioner - Plastic and Reconstructive Surgery (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 508 |
|---|---|
| Services billed | 1,164 across 78 procedure codes |
| Paid by Medicare | $202,408 |
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 18 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $149.46 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Plastic And Reconstructive Surgery |
Medical groups
- Wilmington Dermatology Center PLLCWilmington, NC · 9 clinicians
- James River Dermatology PLLCMidlothian, VA · 9 clinicians
- Park Plastic Surgery PARocky Mount, NC · 2 clinicians
Hospital affiliation
- Unc Health NashRocky Mount, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records