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Active NPI 1023394665 Individual Practitioner Male Practitioner

Dr. John Moonkeun Park , MD

Surgery - Vascular Surgery • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Park, MD is a certified Surgery - Vascular Surgery practicing in Omaha, NE. With approximately 21 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2005, Dr. Park delivers high-quality medical care to the local community at 17404 BURKE ST STE 102.

Dr. Park maintains professional affiliations with Sage Medical Prof Llc, Vascular And Interventional Radiology Of Siouxland, Foot And Ankle Center Of Nebraska Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17404 Burke St Ste 102

Omaha, NE 681182242

Telephone 5314664260
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Omaha, NE

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -2.4 yrs vs City Avg
City Avg: 23.4 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Omaha, NE (44 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (21 Years) 21 Yrs
Omaha Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
319 265 $290.00 $116.98
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
270 261 $66.00 $19.16
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
217 187 $41.00 $15.16
93880 Ultrasound of both sides of head and neck blood flow
173 167 $574.34 $165.15
93970 Ultrasound study of arm or leg veins with compression and maneuvers
153 152 $103.00 $29.79
93880 Ultrasound of both sides of head and neck blood flow
138 137 $117.00 $34.49
93925 Ultrasound of leg arteries or artery grafts
109 105 $639.86 $213.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
92 92 $441.00 $152.88
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
60 60 $599.07 $153.65
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes
57 51 $146.00 $10.86
93926 Ultrasound of one leg arteries or artery grafts
53 45 $435.00 $114.10
76937 Ultrasonic guidance for blood vessel access
42 39 $43.00 $12.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
41 38 $345.00 $100.70
93990 Ultrasound of dialysis access
40 18 $526.00 $115.68
93925 Ultrasound of leg arteries or artery grafts
34 34 $117.00 $34.17
99213 Established patient office or other outpatient visit, typically 15 minutes
34 33 $255.00 $82.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
34 34 $372.00 $116.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
32 30 $395.63 $165.62
76706 Ultrasound scan of abdominal aorta
28 28 $83.00 $23.96
93923 Complete ultrasound study of arm and leg arteries
27 27 $74.00 $19.24
75625 Radiological supervision and interpretation X-ray of abdominal aorta
24 21 $163.00 $59.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
23 17 $196.00 $72.14
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes
23 21 $39.00 $13.42
93926 Ultrasound of one leg arteries or artery grafts
22 22 $71.00 $20.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers
22 20 $561.00 $161.56
75716 Review by radiologist of both arms or legs arteries image
20 19 $189.00 $82.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes
19 11 $115.95 $44.91
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
18 18 $169.00 $50.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $288.00 $100.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 17 $551.00 $158.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
16 16 $41.00 $15.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $441.00 $122.09
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
13 12 $763.00 $236.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $290.00 $89.81
37236 Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery
11 11 $10486.09 $328.73
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
11 11 $42349.00 $546.16

Medical Specialties & State Licenses

CMS Verified: 2025-09-23
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License NE 26509

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License OH 35.095909

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35.095909

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License IA 40563

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10025724800 (NE)
Medicaid State Provider ID
10026135100 (NE)
Medicaid State Provider ID
1023394665 (IA)
Medicaid State Provider ID
47068731713 (NE)
Medicaid State Provider ID
10026454700 (NE)

Hospital & Practice Group Affiliations

Vascular And Interventional Radiology Of Siouxland

17404 Burke St, Omaha, NE 681182242

Phone: 5314664260

Vascular And Interventional Radiology Of Siouxland

800 Mercy Dr, Council Bluffs, IA 515033128

Phone: 5314664260

Foot And Ankle Center Of Nebraska Pc

411 E Broadway, Council Bluffs, IA 515034417

Phone: 4023917575

Foot And Ankle Center Of Nebraska Pc

9006 Ohio St, Omaha, NE 681346139

Phone: 4023917575

Sage Medical Prof Llc

17410 Burke St, Omaha, NE 681182250

Phone: 5314444757

Vascular And Interventional Radiology Of Siouxland

801 5th St, Sioux City, IA 511011326

Phone: 6052175617

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. David Vogel , MD

Surgery - Vascular Surgery

NPI 1033159850

Doctor of Medicine (M.D.)

Alicia Hanson

Physician Assistant

NPI 1730580051
Jessica Prescott

Physician Assistant

NPI 1790404168
Dr. Andrew Schroeder , DO

Surgery - Vascular Surgery

NPI 1902300510

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Surgery (License #35.095909 in OH)

📍
Updated Practice Location March 17, 2025

Registered at 17404 BURKE ST STE 102, OMAHA, NE 681182242 (Tel: 5314664260)

📍
Updated Business Mailing Address March 17, 2025

Registered at 17404 BURKE ST STE 102, OMAHA, NE 681182242 (Tel: 3514664260)

NPI Profile Active February 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2015

Registered at 515 N 162ND AVE, STE. 300, OMAHA, NE 681182539 (Tel: 4023936624)

📍
Updated Business Mailing Address February 20, 2015

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 4023542100)

👤
Provider Name / Credentials Updated February 20, 2015

Recorded as JOHN PARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2015

Surgery (License #35.095909 in OH)

🟢
Initial NPI Registration & Enumeration October 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023394665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2011
Last Update: September 23, 2025
Sole Proprietor: No

Mailing Address

17404 Burke St Ste 102

Omaha, NE 681182242

Phone: 3514664260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.