JIMMY C CHAN-PONG (M.D.) – Pulmonary Disease Physician, NPI 1144224718

JIMMY C CHAN-PONG (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME64566 (FL). The NPI Number for JIMMY C CHAN-PONG (M.D.) is 1144224718

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JIMMY C CHAN-PONG (M.D.)
NPI
1144224718
Phone
Not provided
Address
1324 LAKELAND HILLS BLVD
Enumeration Date
10 June 2005
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636036565
Graduation Year
1985 (41 years ago)
PAC ID
1254493083
Group Practice PAC ID
8325952914
Professional Enrollment ID
I20090102000324
Address ID
FL338051965LA3525XBLVD400

Contacts

Secure Messaging
jchanpong17351@LRHS.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,454 CRITICAL CARE (INTENSIVISTS) in FL

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Provider Addresses for JIMMY C CHAN-PONG (M.D.)

  • Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    ATTN: MANAGED CARE DEPT

    LAKELAND, FL 338054543

    Phone:

    Type: Mailing

  • 3030, Harden Boulevard, Lakeland, Polk County, Florida, 33803, United States

    LAKELAND, FL 338037952

    Phone: (863) 284-5020

    Fax: (863) 284-5192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090102000324ICritical Care (Intensivists)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes15082$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2823$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

JIMMY C CHAN-PONG (M.D.) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)FL90670Pneumococcal vaccine for injection into muscle2121
CRITICAL CARE (INTENSIVISTS)FL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration7270

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325952914View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JIMMY C CHAN-PONG (M.D.) for billing?
Administrative and clinical systems typically use NPI 1144224718 for JIMMY C CHAN-PONG (M.D.).
Should I treat JIMMY C CHAN-PONG (M.D.) as an active provider?
Patients and plans typically see JIMMY C CHAN-PONG (M.D.) as active in the national extract.
What type of care does JIMMY C CHAN-PONG (M.D.) provide?
JIMMY C CHAN-PONG (M.D.)'s profile centers on Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is JIMMY C CHAN-PONG (M.D.) tied to Lakeland, Florida?
If you are local to Lakeland, Florida, JIMMY C CHAN-PONG (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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