Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649699109 Individual Practitioner Male Practitioner

Dr. Cheon Gyu Park , DC

Chiropractor • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cheon Gyu Park, DC is a certified Chiropractor practicing in Fairfax, VA. With approximately 13 years of clinical experience since graduating from Palmer College Chiropractic - Davenport in 2013, Dr. Park delivers high-quality medical care to the local community at 3900 UNIVERSITY DR STE 100.

Dr. Park accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3900 University Dr Ste 100

Fairfax, VA 220302513

Telephone 5712535539
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Palmer College Chiropractic - Davenport

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fairfax, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -9.2 yrs vs City Avg
City Avg: 22.2 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
79 Specialists

Practicing in Fairfax, VA (1607 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (13 Years) 13 Yrs
Fairfax Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
76 13 $52.75 $28.47
98941 Chiropractic manipulative treatment, 3-4 spinal regions
67 11 $55.00 $40.84

Medical Specialties & State Licenses

CMS Verified: 2023-11-17
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License VA 0104557163

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 17, 2023

Registered at 3900 UNIVERSITY DR STE 100, FAIRFAX, VA 220302513 (Tel: 5712535539)

📍
Updated Business Mailing Address November 17, 2023

Registered at 3900 UNIVERSITY DR STE 100, FAIRFAX, VA 220302513 (Tel: 5712535539)

NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2017

Registered at 10680 MAIN ST, SUITE 275, FAIRFAX, VA 22030 (Tel: 7035398822)

📍
Updated Business Mailing Address January 25, 2017

Registered at 10680 MAIN ST, SUITE 275, FAIRFAX, VA 22030 (Tel: 7035398822)

👤
Provider Name / Credentials Updated January 25, 2017

Recorded as CHEON GYU PARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Chiropractor (License #0104557163 in VA)

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2014

Registered at 125 W LINCOLN TRAIL BLVD, RADCLIFF, KY 401602055 (Tel: 2703516074)

📍
Updated Business Mailing Address April 15, 2014

Registered at 125 W LINCOLN TRAIL BLVD, RADCLIFF, KY 401602055 (Tel: 2703516074)

👤
Provider Name / Credentials Updated April 15, 2014

Recorded as CHEON GYU PARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Chiropractor (License #5432 in KY)

🟢
Initial NPI Registration & Enumeration April 14, 2014

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: 1649699109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2014
Last Update: November 17, 2023
Sole Proprietor: No

Mailing Address

3900 University Dr Ste 100

Fairfax, VA 220302513

Phone: 5712535539

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.