Active NPI 1780621805 Individual Practitioner Male Practitioner

Dr. Jae O Park , MD

Internal Medicine • Beaverton, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jae Park, MD is a certified Internal Medicine practicing in Beaverton, OR. With approximately 57 years of clinical experience since completing medical education in 1969, Dr. Park delivers high-quality medical care to the local community at 14455 SW ALLEN BLVD.

Dr. Park accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein, patient 3 years or older, 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

14455 Sw Allen Blvd
Suite 101

Beaverton, OR 970054428

Telephone 5036432120

Fax 5036431034

Associated Practice Facility / Clinic

🏢 James Hermes, Nd Facility NPI 1972941409

Medicare Profile & Education

Medical School

Other

Graduation Year

1969

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Beaverton, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

57 Yrs +34.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

47 Specialists

Practicing in Beaverton, OR (2185 Statewide)

Telehealth Adoption Rate

29.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (57 Years) 57 Yrs

Beaverton Specialty Average (22.5 Years) 22.5 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	90	35	$155.56	$131.59
36410 Insertion of needle into vein, patient 3 years or older	67	35	$35.00	$18.35
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	62	31	$25.00	$16.48
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$110.00	$90.69

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	113	46	$158.85	$129.35
36410 Insertion of needle into vein, patient 3 years or older	95	45	$35.00	$17.86
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$133.33	$93.20
G0008 Administration of influenza virus vaccine	16	16	$50.00	$31.47
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	16	16	$50.00	$33.49

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	150	48	$156.00	$129.68
36410 Insertion of needle into vein, patient 3 years or older	104	45	$35.00	$18.32
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$105.26	$89.90
G0008 Administration of influenza virus vaccine	13	13	$50.00	$30.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	13	13	$50.00	$31.63

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	158	54	$153.73	$133.33
36410 Insertion of needle into vein, patient 3 years or older	109	49	$35.00	$18.19
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$116.00	$86.24
G0008 Administration of influenza virus vaccine	14	14	$36.43	$17.75
90756 Vaccine for influenza for injection into muscle	14	14	$31.79	$28.37

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	190	70	$115.00	$112.78
36410 Insertion of needle into vein, patient 3 years or older	137	58	$35.00	$17.98
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$82.36	$77.82
90756 Vaccine for influenza for injection into muscle	18	18	$30.00	$27.70
G0008 Administration of influenza virus vaccine	18	18	$35.00	$17.49

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	345	96	$116.59	$108.47
36410 Insertion of needle into vein, patient 3 years or older	201	87	$35.00	$17.29
99213 Established patient office or other outpatient visit, typically 15 minutes	112	57	$80.76	$74.56
G0008 Administration of influenza virus vaccine	24	24	$35.00	$17.14
90756 Vaccine for influenza for injection into muscle	24	24	$25.00	$24.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$125.00	$114.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$210.42	$164.78

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	339	94	$115.97	$104.33
36410 Insertion of needle into vein, patient 3 years or older	218	91	$35.00	$16.40
99213 Established patient office or other outpatient visit, typically 15 minutes	217	82	$81.22	$70.77
G0008 Administration of influenza virus vaccine	44	44	$35.23	$21.21
90756 Vaccine for influenza for injection into muscle	44	44	$25.00	$22.33
83014 Administration of drug for helicobacter pylori	19	15	$12.00	$9.51
99496 Transitional care management services for problem of high complexity	15	12	$255.00	$208.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$220.00	$154.30

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	335	95	$117.30	$102.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	218	16	$3.03	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	207	81	$82.46	$69.83
36415 Insertion of needle into vein for collection of blood sample	200	92	$3.56	$2.94
G0008 Administration of influenza virus vaccine	30	30	$34.50	$26.05
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	30	30	$31.53	$17.34
20610 Aspiration and/or injection of fluid from large joint	27	14	$76.00	$57.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$57.63	$41.71
83014 Administration of drug for helicobacter pylori	13	11	$13.62	$10.56

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD13752

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Amany Bashir , MD

Family Medicine

NPI 1245640572

Doctor of Medicine (M.D.)

Zhen Gu

Acupuncturist

NPI 1316777584

Dr. Andrei Mihailescu , DMD

Dentist - General Practice

NPI 1386862928

Doctor of Dental Medicine

Esther Oh

Denturist

NPI 1730391087

Chu-Fong Huang , LAC

Acupuncturist

NPI 1942967492

Licensed Acupuncturist

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 24, 2017

Registered at 12750 SW 2ND ST, STE 101, BEAVERTON, OR 970052779 (Tel: 5036432120)

📍

Updated Practice Location February 24, 2017

Registered at 14455 SW ALLEN BLVD, SUITE 101, BEAVERTON, OR 970054428 (Tel: 5036432120)

👤

Provider Name / Credentials Updated February 24, 2017

Recorded as JAE PARK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Internal Medicine (License #MD13752 in OR)

✅

NPI Profile Active November 01, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 01, 2007

Registered at 14455 SW ALLEN BLVD, SUITE 101, BEAVERTON, OR 970054428 (Tel: 5036432120)

📍

Updated Business Mailing Address November 01, 2007

Registered at 14455 SW ALLEN BLVD, SUITE 101, BEAVERTON, OR 970054428 (Tel: 5036432120)

👤

Provider Name / Credentials Updated November 01, 2007

Recorded as JAE PARK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

Internal Medicine (License #MD13752 in OR)

🟢

Initial NPI Registration & Enumeration May 31, 2006

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: 1780621805

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2006

Last Update: February 24, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12750 Sw 2nd St, Ste 101

Beaverton, OR 970052779

Phone: 5036432120

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.