Lily Park, D.O.
Dermatology Physician · Modesto, CA
Lily Park, D.O. is a dermatology physician with a practice address in Modesto, California, and NPI 1124333455, issued on Aug 11, 2010. Check the license (California 12765, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Lily Park
- Credential
- D.O.
- Primary taxonomy
- Dermatology Physician 207N00000X
- License numbers
- 12765 CA
20A12765 CA
5101018747 MI
DO184048 OR
Self-reported in NPPES; status is on the state search - Practice location
- 600 Coffee RD, Modesto, CA 95355
- Phone
- (209) 521-6097
- Enumerated
- Aug 11, 2010
- Record last updated
- Aug 8, 2024
- Medicare enrollment
- Enrolled (PECOS I20140203001252); accepts Medicare assignment
- Medical or professional school
- Touro Un Col Of Osteopathic Medicine, Henderson, 2010
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 2,083 in California → Look up another NPI →
Also registered at 600 Coffee RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Lily Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license 12765Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
78% fewer Medicare Part D claims than the average dermatology physician in 2024
172 Medicare Part D claims for 107 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D.
Most prescribed
- Ketoconazole42 claims
- Doxycycline Hyclate20 claims
- Clobetasol Propionate15 claims
- Mupirocin14 claims
- Triamcinolone Acetonide12 claims
- Fluorouracil11 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.
Industry payments in 2024: $1,700.63
50 payments; by number, the most common kind was food and beverage; the largest payer was E.R. Squibb & Sons, L.L.C. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Regents OF The University OF CaliforniaRoseville, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lily Park among 2,083 dermatology physician records in California
Lily Park, D.O. is one of 2,083 dermatology physician records with a practice address in California. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 64% of them.
- NPI issued2010 · 64% of these records are older, 33% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2010 · median 2006 among the 1,450 with a school on file
- Record last updated2024 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in California
There are 2,083 dermatology physician records in California.
All 2,083 in California → Every provider in Modesto → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- Marcus Connelly, MDModesto, CA 953551295703577
- Byron Knowles, M.D., PH.D.Modesto, CA 953551225586662
- Thomas Salopek, MDModesto, CA 953551114983210
- Gary Wagner, M.D.Modesto, CA 953551235160102
- Michael Zang, M.D.Modesto, CA 953551528026358
- Thomas Hall, MDModesto, CA 953561770570814
- Blake Alexander, M.D.Modesto, CA 953501033132170
- Catherine Biren, M.D.Modesto, CA 953501124021035
Common questions
What is Lily Park, D.O.'s NPI number?
Lily Park, D.O.'s National Provider Identifier (NPI) is 1124333455, issued on Aug 11, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Lily Park, D.O. located?
The NPPES record lists a practice address at 600 Coffee RD, Modesto, CA, 95355. Phone: (209) 521-6097. Providers update this record themselves, so call before visiting.
How can I verify Lily Park, D.O.'s license?
NPPES lists California license number 12765, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Lily Park, D.O. prescribe under Medicare Part D?
In 2024, Lily Park, D.O. had 172 Medicare Part D claims for 107 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.
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.