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Michael Park

NPI 1790724904ActiveIndividual· Physician Assistant, Medical· Pinehurst, NC

Physician Assistant, Medical with University of Pittsburgh Physicians, practicing in Pinehurst, North Carolina. Medicare paid $14,954 for services to 104 patients in 2024. Lists Upmc Presbyterian Shadyside as a hospital affiliation.

Overview

NPI1790724904
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 5, 2006
Last updated in NPPESAug 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X103478NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients104
Services billed247 across 10 procedure codes
Paid by Medicare$14,954

Medicare sources and data years

Education and affiliations

Graduation year1996
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Pinehurst

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