Ko Un Park, M.D.
NPI 1639430614ActiveIndividual· Surgery· Boston, MA
Surgery (M.D.) in Boston, Massachusetts, trained at Indiana University School of Medicine (class of 2012). Medicare paid $43,931 for services to 61 patients in 2024.
Overview
| NPI | 1639430614 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 6, 2012 |
| Last updated in NPPES | Jan 26, 2026 |
| Certified by provider | Jan 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 1013268 | MA |
| Surgery, Surgical Oncology | 2086X0206X | 35134532 | OH |
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 - General Surgery (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 232 across 17 procedure codes |
| Paid by Medicare | $43,931 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | General Surgery |
Medical group
- Brigham and Womens Physicians Organization IncBoston, MA · 2,994 clinicians
Hospital affiliation
- South Shore HospitalSouth Weymouth, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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