Doctor profile · Federal record
Dr. Jaehyeon Park, MD
Family Medicine Physician · Family Medicine Physician · Rolla, MO
- NPI 1447802681
- 7 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1605 Martin Springs Dr Ste 230
Rolla, MO 654012980
(573) 458-6326 - Additional location
-
102 W Kenwood Ave Ste 100
Decatur, IL 625264379
(217) 872-3800
fax (217) 872-0849
Credentials & registration
- NPI registered
- July 2019 — 7 yrs on file
- Profile last updated
- July 22, 2022
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Missouri #2022025511 · Illinois #125-075031
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1447802681. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
412
Distinct HCPCS
7
Medicare allowed
$43,136
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 175 | 106 | $118 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 105 | 68 | $83 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | 60 | $118 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $154 | |
G0008 |
Administration of influenza virus vaccine | 19 | 19 | $28 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $103 | |
G0009 |
Administration of pneumococcal vaccine | 11 | 11 | $28 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 94. This provider delivers 4.4× the peer median.Open Payments
Industry payments received
All-time total
$84
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $83.82 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,683
Patients
490
Total drug cost
$24,962
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 219 | 67 | $2,747 |
| Gabapentin | Generic | 161 | 32 | $3,335 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 158 | 54 | $3,262 |
| Levothyroxine Sodium | Generic | 130 | 33 | $1,768 |
| Lisinopril | Generic | 116 | 36 | $1,065 |
| Trazodone Hcl | Generic | 114 | 29 | $1,109 |
| Amlodipine Besylate | Generic | 102 | 32 | $746 |
| Omeprazole | Generic | 93 | 30 | $1,303 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 92 | 27 | $2,405 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 88 | 26 | $2,424 |
Frequently asked questions
What is Dr. Jaehyeon Park's medical specialty?
Dr. Jaehyeon Park practices Family Medicine Physician in Rolla, MO.
Where does Dr. Jaehyeon Park practice?
Dr. Jaehyeon Park practices at 1605 Martin Springs Dr Ste 230, Rolla, MO 654012980. Office phone: 5734586326.
What is Dr. Jaehyeon Park's NPI?
Dr. Jaehyeon Park's National Provider Identifier (NPI) is 1447802681, issued by NPPES.
What procedures does Dr. Jaehyeon Park commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.