Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Frederick Kim Park, MD

Individual provider Plastic Surgery Physician · NPI 1407964547

Frederick Kim Park, MD practises Plastic and Reconstructive Surgery in Rocky Mount, North Carolina. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1983, 43 years ago. Practices with James River Dermatology PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
43
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4008 Capital Dr
Rocky Mount, NC 27804
Phone: (252) 937-5003
Fax: (252) 937-3020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 36793 (NC)

Record details

NPI number1407964547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1983 (43 years in practice)
Group practice James River Dermatology Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Melanoma (skin cancer) excision 377 times · 99th percentile
Mastectomy 1–10 times
Removal of skin lesions 1–10 times
Removal of tissue 1–10 times
Removal or shaving of skin growth 1–10 times
Skin biopsy 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients508
Services billed 1,164 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at James River Dermatology PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.