Doctor profile · Federal record
Dr. Jeong Sik Park, M.D.
Specialist (CMS: Cardiovascular Disease (Cardiology)) · Clearlake, CA
- NPI 1528078961
- Accepts Medicare
- MIPS 92.1 / 100 · 2023
- 38 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
15250 Lakeshore Dr Ste C
Clearlake, CA 954228107
(707) 995-7077
fax (707) 995-0904 - Mailing address
-
Po Box 6017
Clearlake, CA 954226017
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- September 20, 2013
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- California #A45408
- Medicaid
- CA #00A454080
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528078961. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,638
Distinct HCPCS
6
Medicare allowed
$35,067
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,503 | 1,365 | $9 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 58 | 58 | $72 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 31 | 14 | $145 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 11 | $103 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 16 | 16 | $13 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $184 |
In context: peer comparison
Among 1 peers in Clearlake Specialist, average services per provider: 439. This provider delivers 6.0× the peer median.Open Payments
Industry payments received
All-time total
$349
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Siemens Medical Solutions USA, INC. | 1 | $169.62 | |
| Abbott Laboratories | 2 | $109.73 | |
| Boston Scientific Corporation | 2 | $43.73 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $25.45 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,515
Patients
838
Total drug cost
$609,142
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 649 | 116 | $6,990 |
| Carvedilol | Generic | 559 | 93 | $6,280 |
| Amlodipine Besylate | Generic | 420 | 77 | $3,464 |
| Eliquis (Apixaban) | Brand | 385 | 65 | $279,166 |
| Metoprolol Succinate | Generic | 360 | 71 | $4,238 |
| Entresto (Sacubitril/Valsartan) | Brand | 351 | 55 | $287,271 |
| Lisinopril | Generic | 291 | 53 | $2,204 |
| Losartan Potassium | Generic | 271 | 62 | $4,142 |
| Furosemide | Generic | 243 | 51 | $1,148 |
| Spironolactone | Generic | 199 | 40 | $1,674 |
Frequently asked questions
What is Dr. Jeong Sik Park's medical specialty?
Dr. Jeong Sik Park practices Specialist in Clearlake, CA.
Where does Dr. Jeong Sik Park practice?
Dr. Jeong Sik Park practices at 15250 Lakeshore Dr Ste C, Clearlake, CA 954228107. Office phone: 7079957077.
What is Dr. Jeong Sik Park's NPI?
Dr. Jeong Sik Park's National Provider Identifier (NPI) is 1528078961, issued by NPPES.
Does Dr. Jeong Sik Park accept Medicare assignment?
Yes. Dr. Jeong Sik Park accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeong Sik Park commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS 93306); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.