Sonny Yong Park, MD
NPI 1720071277ActiveIndividual· Emergency Medicine· Manitowoc, WI
Emergency Medicine (MD) with Jefferson Davis Emergency Group LLC, practicing in Manitowoc, Wisconsin. 94 Medicare patients in 2024, $11,964 paid; nearly all of their 195 Part D prescriptions were generic (95%). Lists Holy Family Memorial and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1720071277 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 30, 2005 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 25559 | SC |
| Emergency Medicine | 207P00000X | 1987320 | WI |
| Emergency Medicine | 207P00000X | 036182351 | IL |
| Family Medicine | 207Q00000X | MD22311 | ME |
| Emergency Medicine | 207P00000X | 01078315A | IN |
| Family Medicine | 207Q00000X | 25MA10015400 | NJ |
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 - Emergency Medicine (GA); Practitioner - Emergency Medicine (IN); Practitioner - Emergency Medicine (KY); Practitioner - Emergency Medicine (LA); Practitioner - Family Practice (SC); Practitioner - Family Practice (TN); Practitioner - Emergency Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 103 across 10 procedure codes |
| Paid by Medicare | $11,964 |
Part D prescriptions in 2024
| Prescriptions (claims) | 195 · 203 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $1,960 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Jefferson Davis Emergency Group LLCJennings, LA · 17 clinicians
Hospital affiliations
- Holy Family MemorialManitowoc, WI
- Knox County HospitalBarbourville, KY
- Ochsner American Legion HospitalJennings, LA
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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