Doctor profile · Federal record
Dr. Kevin Park, MD
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Orthopaedic Surgery of the Spine Physician · Fayetteville, GA
- NPI 1356579627
- Accepts Medicare
- MIPS 90.8 / 100 · 2023
- 17 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1265 Highway 54 W, Suites 102 and 308
Fayetteville, GA 302144548
(770) 460-1900
fax (770) 719-1214 - Mailing address
-
900 Circle 75 Sepkwy 1700
Atlanta, GA 303393087
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- August 11, 2022
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State licenses (2)
- Georgia #74050 · Georgia #074050
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356579627. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,180
Distinct HCPCS
10
Medicare allowed
$181,550
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 264 | 200 | $122 | |
72100 |
X-ray of lower and sacral spine, 2-3 views | 191 | 182 | $40 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 188 | 144 | $88 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 138 | 138 | $162 | |
72148 |
Mri scan of lower spinal canal without contrast | 93 | 92 | $131 | |
72040 |
X-ray of upper spine, 2-3 views | 79 | 69 | $39 | |
72110 |
X-ray of lower and sacral spine, minimum of 4 views | 39 | 39 | $49 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $112 | |
22853 |
Insertion of cage or mesh device to spine bone and disc space during spine fusion | 33 | 20 | $247 | |
72141 |
Mri scan of upper spinal canal without contrast | 30 | 30 | $121 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 73. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$3,307
Transactions
35
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Globus Medical, Inc. | 32 | $2,388.66 | |
| Arteriocyte Medical Systems, Inc. | 1 | $757.78 | |
| SI-BONE, INC. | 2 | $160.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,024
Patients
645
Total drug cost
$5,435
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 313 | 141 | $1,396 |
| Tizanidine Hcl | Generic | 247 | 187 | $1,211 |
| Oxycodone Hcl | Generic | 115 | 81 | $611 |
| Gabapentin | Generic | 95 | 50 | $1,006 |
| Meloxicam | Generic | 86 | 54 | $216 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 55 | 36 | $335 |
| Methylprednisolone | Generic | 53 | 53 | $394 |
| Diazepam | Generic | 32 | 31 | $21 |
| Pregabalin | Generic | 16 | 0 | $188 |
| Cyclobenzaprine Hcl | Generic | 12 | 12 | $58 |
Hospital affiliations
Frequently asked questions
What is Dr. Kevin Park's medical specialty?
Dr. Kevin Park practices Orthopaedic Surgery Physician in Fayetteville, GA.
Where does Dr. Kevin Park practice?
Dr. Kevin Park practices at 1265 Highway 54 W, Fayetteville, GA 302144548. Office phone: 7704601900.
What is Dr. Kevin Park's NPI?
Dr. Kevin Park's National Provider Identifier (NPI) is 1356579627, issued by NPPES.
Does Dr. Kevin Park accept Medicare assignment?
Yes. Dr. Kevin Park accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kevin Park commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); X-ray of lower and sacral spine, 2-3 views (HCPCS 72100); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.