Doctor profile · Federal record
Dr. Frederick Park, M.D.
Plastic Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Rocky Mount, NC
- NPI 1407964547
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 43 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4008 Capital Drive
Rocky Mount, NC 27804
(252) 937-5003
fax (252) 937-3020
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- August 11, 2025
- Year of graduation
- 1983 — 43 yrs since
- Specialty taxonomy
- 208200000X — NUCC code
- State license (1)
- North Carolina #36793
- Medicaid
- NC #1407964547
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407964547. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,115
Distinct HCPCS
10
Medicare allowed
$253,998
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
11602 |
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 208 | 192 | $120 | |
13101 |
Complicated repair of wound of trunk, 2.6-7.5 cm | 158 | 152 | $386 | |
13121 |
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 153 | 147 | $417 | |
11402 |
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | 97 | 92 | $85 | |
11603 |
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 66 | 61 | $135 | |
13132 |
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 65 | 63 | $460 | |
12032 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 59 | 57 | $247 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 59 | 59 | $68 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 44 | 27 | $53 | |
11622 |
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 43 | 42 | $127 |
In context: peer comparison
Among 1 peers in Rocky Mount Plastic Surgery Physician, average services per provider: 58. This provider delivers 19× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
16
Patients
13
Total drug cost
$106
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 16 | 13 | $106 |
Hospital affiliations
Frequently asked questions
What is Dr. Frederick Park's medical specialty?
Dr. Frederick Park practices Plastic Surgery Physician in Rocky Mount, NC.
Where does Dr. Frederick Park practice?
Dr. Frederick Park practices at 4008 Capital Drive, Rocky Mount, NC 27804. Office phone: 2529375003.
What is Dr. Frederick Park's NPI?
Dr. Frederick Park's National Provider Identifier (NPI) is 1407964547, issued by NPPES.
Does Dr. Frederick Park accept Medicare assignment?
Yes. Dr. Frederick Park accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Frederick Park commonly perform?
Top Medicare-reported procedures in 2023: Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS 11602); Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS 13101); Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS 13121). Source: CMS Medicare Physician & Other Practitioners file.