Doctor profile · Federal record

Dr. Jae Hyung Park

Interventional Pain Medicine Physician (CMS: Interventional Pain Management) · Sun City, AZ

  • NPI 1255727889
  • Accepts Medicare
  • MIPS 39.6 / 100 · 2023
  • 11 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
13203 N 103Rd Ave Ste H5
Sun City, AZ 853513032
(623) 777-4747
Additional location
3110 Clearwater Dr Ste B
Prescott, AZ 863057177
(623) 516-8252
fax (623) 516-8253
Mailing address
5281 N 99Th Ave Ste 100
Glendale, AZ 853052209

Credentials & registration

NPPES · NUCC
NPI registered
April 2015 — 11 yrs on file
Profile last updated
September 13, 2024
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
208VP0014X — NUCC code
State license (1)
Arizona #59983

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255727889. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
5,094
Distinct HCPCS
10
Medicare allowed
$355,775
HCPCS Description Services Patients Avg allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,020 166 $0
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 308 44 $1
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 196 80 $130
99214 Established patient office or other outpatient visit, 30-39 minutes 178 114 $124
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 175 91 $301
77002 Fluoroscopic guidance for needle placement 129 58 $110
20610 Aspiration and/or injection of fluid from large joint 116 46 $69
99204 New patient office or other outpatient visit, 45-59 minutes 113 113 $159
64636 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 100 42 $237
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 82 38 $207

In context: peer comparison

Among 1 peers in Sun City Interventional Pain Medicine Physician, average services per provider: 181. This provider delivers 28× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,483
Transactions
38
Manufacturers
9
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 29 $759.97
Medtronic, INC. 2 $304.41
Spinefrontier, INC. 1 $200.33
Biotronik Nro, INC. 1 $125.00
Boston Scientific Corporation 1 $21.64
Protega Pharmaceutials INC 1 $21.00
Vertex Pharmaceuticals Incorporated 1 $18.76
Scilex Pharmaceuticals INC. 1 $16.25
Collegium Pharmaceutical, INC. 1 $15.77

By nature of payment

Food and Beverage
$1,483

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,898
Patients
780
Total drug cost
$34,523
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 381 154 $7,882
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 331 125 $9,041
Gabapentin Generic 221 83 $3,313
Oxycodone Hcl Generic 190 77 $3,032
Tramadol Hcl Generic 155 53 $991
Pregabalin Generic 127 52 $3,349
Duloxetine Hcl Generic 87 36 $1,993
Morphine Sulfate ER (Morphine Sulfate) Brand 81 29 $1,205
Mupirocin Generic 64 56 $582
Cephalexin Generic 56 44 $777

Frequently asked questions

Auto-generated from federal data
What is Dr. Jae Hyung Park's medical specialty?
Dr. Jae Hyung Park practices Interventional Pain Medicine Physician in Sun City, AZ.
Where does Dr. Jae Hyung Park practice?
Dr. Jae Hyung Park practices at 13203 N 103Rd Ave Ste H5, Sun City, AZ 853513032. Office phone: 6237774747.
What is Dr. Jae Hyung Park's NPI?
Dr. Jae Hyung Park's National Provider Identifier (NPI) is 1255727889, issued by NPPES.
Does Dr. Jae Hyung Park accept Medicare assignment?
Yes. Dr. Jae Hyung Park accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jae Hyung Park commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS 64484). Source: CMS Medicare Physician & Other Practitioners file.