Benjamin Ross Park, D.O.
NPI 1770922676ActiveIndividual· Radiology, Diagnostic Radiology· Bothell, WA
Radiology, Diagnostic Radiology (D.O.) in Bothell, Washington, trained at Michigan State University College of Osteopathic Medicine (class of 2013). Medicare paid $61,606 for services to 1,382 patients in 2024. Ethicon US, LLC reported $32.71 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1770922676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 24, 2013 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | DR.0061359 | CO |
| Radiology, Diagnostic Radiology | 2085R0202X | 0102205720 | VA |
| Radiology, Diagnostic Radiology | 2085R0202X | S1673 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (CO); Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (TX); Practitioner - Diagnostic Radiology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,382 |
|---|---|
| Services billed | 2,097 across 125 procedure codes |
| Paid by Medicare | $61,606 |
Education and affiliations
| Medical school | Michigan State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Carolinas Physicians Network IncCharlotte, NC · 2,325 clinicians
- Carilion Medical CenterRoanoke, VA · 977 clinicians
- Centra Medical Group LLCLynchburg, VA · 724 clinicians
- Shannon ClinicSan Angelo, TX · 559 clinicians
- North Platte Nebraska Hospital CorporationNorth Platte, NE · 243 clinicians
- Carilion Giles Community HospitalPearisburg, VA · 228 clinicians
- Oroville HospitalAugusta, GA · 91 clinicians
- Cmsc LLCMacon, GA · 91 clinicians
- Mercy Diagnostic Imaging PCMacon, GA · 90 clinicians
- Winchester Radiologists PCSandy, UT · 79 clinicians
- Carilion Tazewell Community HospitalPark City, UT · 76 clinicians
- Memorial Hospital of Converse CountyMacon, GA · 74 clinicians
- X-Ray Professional AssociationMacon, GA · 63 clinicians
- Columbus Radiology Physicians LLCMacon, GA · 61 clinicians
- Corvallis Radiology PCMacon, GA · 56 clinicians
- Jason L Hwang MD IncMacon, GA · 53 clinicians
- Acadiana Radiology GroupLafayette, LA · 51 clinicians
- Eastern Radiological Associates PCMacon, GA · 49 clinicians
- South Florida Medical Imaging PAFort Lauderdale, FL · 44 clinicians
- Tennessee Valley Radiology LLCMacon, GA · 41 clinicians
- Radiology Medical Group of NapaClayton, GA · 40 clinicians
- Tahoe Carson Radiology Loos Et Al LtdMacon, GA · 37 clinicians
- Texas Imaging Partners LLCGlendale, CA · 4 clinicians
Hospital affiliations
- Carilion Medical CenterRoanoke, VA
- Carilion New River Valley Medical CenterChristiansburg, VA
- Centra Health - Lynchburg Gen HospitalLynchburg, VA
- Columbus Regional HospitalColumbus, IN
- Concord Hospital- LaconiaLaconia, NH
Industry payments (Open Payments)
- 2024$32.71 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $32.71 | 1 |
What the 2024 payments were for
- Food and Beverage$32.71 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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