Doctor profile · Federal record
Dr. Lisa Park
Colon & Rectal Surgery Physician (CMS: Colorectal Surgery (Proctology)) · Surgery Physician · Larkspur, CA
- NPI 1568857142
- 11 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5 Bon Air RD Ste 101
Larkspur, CA 949391134
(415) 924-2515
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- December 3, 2021
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 208C00000X — NUCC code
- State licenses (2)
- California #A168789 · Ohio #57.027085
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568857142. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,026
Distinct HCPCS
10
Medicare allowed
$204,637
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 156 | 96 | $102 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 122 | 122 | $183 | |
46600 |
Diagnostic exam of anus using an endoscope | 121 | 108 | $148 | |
46500 |
Injection of hemorrhoid | 109 | 53 | $390 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 79 | 63 | $143 | |
46221 |
Removal of external hemorrhoids by rubber banding | 75 | 44 | $339 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 73 | 73 | $125 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 43 | 43 | $243 | |
99442 |
Telephone medical discussion with physician, 11-20 minutes | 41 | 39 | $102 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 34 | 33 | $160 |
In context: peer comparison
Among 1 peers in Larkspur Colon & Rectal Surgery Physician, average services per provider: 54. This provider delivers 19× the peer median.Open Payments
Industry payments received
All-time total
$233
Transactions
7
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Coloplast Corp | 1 | $79.31 | |
| Biotissue Holdings INC. | 1 | $31.94 | |
| Boston Scientific Corporation | 1 | $28.49 | |
| Axonics, INC. | 1 | $27.95 | |
| Medtronic, INC. | 1 | $25.02 | |
| Laborie Medical Technologies Corp. | 1 | $23.25 | |
| Ethicon US, LLC | 1 | $16.67 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
69
Patients
47
Total drug cost
$367
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metronidazole | Generic | 25 | 22 | $48 |
| Tramadol Hcl | Generic | 17 | 12 | $65 |
| Neomycin Sulfate | Generic | 14 | 13 | $91 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 0 | $163 |
Frequently asked questions
What is Dr. Lisa Park's medical specialty?
Dr. Lisa Park practices Colon & Rectal Surgery Physician in Larkspur, CA.
Where does Dr. Lisa Park practice?
Dr. Lisa Park practices at 5 Bon Air RD Ste 101, Larkspur, CA 949391134. Office phone: 4159242515.
What is Dr. Lisa Park's NPI?
Dr. Lisa Park's National Provider Identifier (NPI) is 1568857142, issued by NPPES.
Does Dr. Lisa Park accept Medicare assignment?
Dr. Lisa Park does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Lisa Park commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204); Diagnostic exam of anus using an endoscope (HCPCS 46600). Source: CMS Medicare Physician & Other Practitioners file.