DR. VIENGSOUK PHOMMACHANH (M.D.) – Otolaryngology Physician, NPI 1235331141

DR. VIENGSOUK PHOMMACHANH (M.D.) is a healthcare provider. based in Venice, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. ME98812 (FL). The NPI Number for DR. VIENGSOUK PHOMMACHANH (M.D.) is 1235331141

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIENGSOUK PHOMMACHANH (M.D.)
NPI
1235331141
Phone
(941) 355-2767
Address
420 Nokomis Ave S
Enumeration Date
3 June 2007
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3052734641
Graduation Year
2005 (21 years ago)
PAC ID
5890828040
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20100809000693
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

733 OTOLARYNGOLOGY in FL

Provider Addresses for DR. VIENGSOUK PHOMMACHANH (M.D.)

  • 420 Nokomis Ave S

    Venice, FL 342852617

    Phone: (941) 355-2767

    Fax: (941) 355-0617

    Type: Location

  • University Parkway, Sarasota, Sarasota County, Florida, 34270, United States

    SARASOTA, FL 342432894

    Phone: (941) 355-2767

    Fax: (941) 355-0617

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: GENZYME CORPORATION ($170).

Total Amount

$462

General + Research + Ownership

Payments

18

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-09

PECOS data refreshed: 2026-06-15

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
I20100809000693IOtolaryngologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,063681$0
31231Diagnostic exam of nasal passages using an endoscope414303$0
69210Removal of impacted ear wax372243$0
99204New patient office or other outpatient visit, 45-59 minutes367367$0
99214Established patient office or other outpatient visit, 30-39 minutes265230$0
View full utilization report →

Insurance plans in this area (ZIP 34285)

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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: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
Physician AssistantNJ
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Is there an official ID for DR. VIENGSOUK PHOMMACHANH (M.D.) in U.S. healthcare records?
The official identifier for DR. VIENGSOUK PHOMMACHANH (M.D.) is NPI 1235331141.
Is DR. VIENGSOUK PHOMMACHANH (M.D.) still an active registrant?
DR. VIENGSOUK PHOMMACHANH (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. VIENGSOUK PHOMMACHANH (M.D.)'s focus?
For DR. VIENGSOUK PHOMMACHANH (M.D.), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. VIENGSOUK PHOMMACHANH (M.D.) associated with Venice?
Public fields place DR. VIENGSOUK PHOMMACHANH (M.D.) around Venice, Florida. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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