NPPES file of Aug 9, 2026

Jeong Sik Park, M.D.

Specialist · Clearlake, CA

Jeong Sik Park, M.D. is a specialist with a practice address in Clearlake, California, and NPI 1528078961, issued on Aug 8, 2006. Check the license (California A45408, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1528078961
Name
Jeong Sik Park
Credential
M.D.
Primary taxonomy
Specialist 174400000X
License number
A45408 CA
Self-reported in NPPES; status is on the state search
Practice location
15250 Lakeshore Dr Ste C, Clearlake, CA 95422
Phone
(707) 995-7077
Enumerated
Aug 8, 2006
Record last updated
Sep 20, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(707) 995-0904
Medicaid ID
00A454080 CA
Medicare enrollment
Enrolled (PECOS I20051229000288); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 15250 Lakeshore Dr Ste C

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Whie Oh, MDInterventional Cardiology Physician1780692392

Verify Jeong Sik Park in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license A45408
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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4.8 times the Medicare Part D claims of the average specialist in 2024

6,647 Medicare Part D claims for 412 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.

  1. Jeong Sik Park6,647
  2. Specialty average1,380

Most prescribed

  1. Atorvastatin Calcium885 claims
  2. Carvedilol561 claims
  3. Metoprolol Succinate440 claims
  4. Amlodipine Besylate407 claims
  5. Eliquis386 claims
  6. Entresto340 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 97.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score84.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $348.53

6 payments; by number, the most common kind was food and beverage; the largest payer was Siemens Medical Solutions USA, Inc. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jeong Sik Park$348.53
  2. Specialty average$4,760.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Adventist Health Clearlake Hospital Inc.Clearlake, CA
  2. Adventist Health Physicians NetworkClearlake, CA
  3. St. Helena HospitalSaint Helena, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jeong Sik Park among 5,749 specialist records in California

Jeong Sik Park, M.D. is one of 5,749 specialist records with a practice address in California. 30% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 60% newer
  • In a Medicare fileYes · 30% of these records are
  • In the CMS Doctors and Clinicians fileYes · 19% of these records are
  • Graduated1988 · median 1989 among the 1,075 with a school on file
  • Record last updated2013 · 77% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Specialist providers in California

There are 5,749 specialist records in California.

The 8 specialist records with the nearest ZIP codes

  1. Lauren BarthSanta Rosa, CA 954091235815093
  2. Winfried Bauer, M.D.Santa Rosa, CA 954091699845669
  3. Francisco Canales, M.D.Santa Rosa, CA 954091194884270
  4. Heather Furnas, MDSanta Rosa, CA 954091164593497
  5. Lilanya Manspeaker, OFMTForestville, CA 954361326816059
  6. Brandi CaswellSanta Rosa, CA 954071063968550
  7. Alexandra FreibergSanta Rosa, CA 954071730934712
  8. Vanessa GarciaSanta Rosa, CA 954071598519779

Common questions

What is Jeong Sik Park, M.D.'s NPI number?

Jeong Sik Park, M.D.'s National Provider Identifier (NPI) is 1528078961, issued on Aug 8, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jeong Sik Park, M.D. located?

The NPPES record lists a practice address at 15250 Lakeshore Dr Ste C, Clearlake, CA, 95422. Phone: (707) 995-7077. Providers update this record themselves, so call before visiting.

How can I verify Jeong Sik Park, M.D.'s license?

NPPES lists California license number A45408, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Jeong Sik Park, M.D. prescribe under Medicare Part D?

In 2024, Jeong Sik Park, M.D. had 6,647 Medicare Part D claims for 412 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.

What is Jeong Sik Park, M.D.'s MIPS final score?

The 2023 MIPS final score is 97.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.