Doctor profile · Federal record

Dr. Frederick Park, M.D., PH.D.

Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Renton, WA

  • NPI 1013113208
  • Accepts Medicare
  • 20 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4011 Talbot RD S, Ste 500
Renton, WA 980555773
(425) 251-5110
fax (425) 793-7380
Mailing address
Po Box 59028
Renton, WA 980582028

Credentials & registration

NPPES · NUCC
NPI registered
June 2007 — 19 yrs on file
Profile last updated
November 14, 2016
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
207RG0100X — NUCC code
State licenses (2)
Washington #60653608 · California #A106773
Medicaid
WA #2061516

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1013113208. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
464
Distinct HCPCS
10
Medicare allowed
$72,403
HCPCS Description Services Patients Avg allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare 91 91 $266
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 86 85 $100
99214 Established patient office or other outpatient visit, 30-39 minutes 69 51 $141
45380 Biopsy of large bowel using a flexible endoscope 68 68 $101
99213 Established patient office or other outpatient visit, 20-29 minutes 31 26 $101
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 29 19 $128
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 26 26 $187
99204 New patient office or other outpatient visit, 45-59 minutes 24 24 $178
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 16 16 $173
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 13 13 $160

In context: peer comparison

Among 4 peers in Renton Gastroenterology Physician, average services per provider: 48. This provider delivers 9.7× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
564
Patients
180
Total drug cost
$40,583
Drug Type Claims Patients Total cost
Omeprazole Generic 277 105 $8,502
Pantoprazole Sodium Generic 53 23 $1,882
Esomeprazole Magnesium Generic 49 11 $2,870
Dicyclomine Hcl Generic 43 16 $327
Mesalamine Generic 29 0 $23,329
Lactulose Generic 27 0 $654
Metoclopramide Hcl Generic 18 0 $259
Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) Brand 16 13 $472
Furosemide Generic 14 0 $167
Colestipol Hcl Generic 13 0 $701

Frequently asked questions

Auto-generated from federal data
What is Dr. Frederick Park's medical specialty?
Dr. Frederick Park practices Gastroenterology Physician in Renton, WA.
Where does Dr. Frederick Park practice?
Dr. Frederick Park practices at 4011 Talbot RD S, Renton, WA 980555773. Office phone: 4252515110.
What is Dr. Frederick Park's NPI?
Dr. Frederick Park's National Provider Identifier (NPI) is 1013113208, 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 polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.