Timothy Park, M.D.
Surgery Physician · Charlotte, NC
Timothy Park, M.D. is a surgery physician with a practice address in Charlotte, North Carolina, and NPI 1932494655, issued on Jun 9, 2011. Check the license (North Carolina 2021-00319, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Timothy Park
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 2021-00319 NC
Self-reported in NPPES; status is on the state search - Practice location
- 1000 Blythe Blvd, Charlotte, NC 28203
- Phone
- (704) 355-2000
- Enumerated
- Jun 9, 2011
- Record last updated
- Mar 19, 2025
- Medicare enrollment
- Enrolled (PECOS I20210903001983); accepts Medicare assignment
- Medical or professional school
- Tulane University School Of Medicine, 2011
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,170 in North Carolina → Look up another NPI →
Also registered at 1000 Blythe Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alison Aadahl, DMDStudent in an Organized Health Care Education/Training Program1154062420
- Elizabeth AbernathyHospitalist Physician1871518910
- Hamdi Abu Ali, M.D.Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician1760718746
- Kelly Acevedo, RN, MSN, GNPGerontology Nurse Practitioner1497886956
- Ngehbehgnui Achu, CRNACertified Registered Nurse Anesthetist1427415595
- Satish Adawadkar, MDAnesthesiology Physician1437366754
Verify Timothy Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2021-00319Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Carolinas Medical CenterCharlotte, NC
- The Charlotte-Mecklenburg Hospital AuthorityDenver, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Timothy Park among 1,170 surgery physician records in North Carolina
Timothy Park, M.D. is one of 1,170 surgery physician records with a practice address in North Carolina. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 68% of them.
- NPI issued2011 · 68% of these records are older, 28% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2011 · median 2004 among the 773 with a school on file
- Record last updated2025 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in North Carolina
There are 1,170 surgery physician records in North Carolina.
All 1,170 in North Carolina → Every provider in Charlotte → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- George Black, MDCharlotte, NC 282031538431994
- Jonathan Bouchez, M.D.Charlotte, NC 282031174968069
- Nicholas Bruns, MDCharlotte, NC 282031891053492
- Renford Cindass, M.D.Charlotte, NC 282031740625573
- Rebecca Collver, M.D.Charlotte, NC 282031962728212
- Michael Fruscione, MDCharlotte, NC 282031952712127
- Christian Gage, MDCharlotte, NC 282031346635802
- Edward Hernandez, M.D.Charlotte, NC 282031235663170
Common questions
What is Timothy Park, M.D.'s NPI number?
Timothy Park, M.D.'s National Provider Identifier (NPI) is 1932494655, issued on Jun 9, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Park, M.D. located?
The NPPES record lists a practice address at 1000 Blythe Blvd, Charlotte, NC, 28203. Phone: (704) 355-2000. Providers update this record themselves, so call before visiting.
How can I verify Timothy Park, M.D.'s license?
NPPES lists North Carolina license number 2021-00319, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Timothy Park, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.