PANYAMOL PAM KITTIPONGDAJA (DO) – Dermatology Physician, NPI 1861821589
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for PANYAMOL PAM KITTIPONGDAJA (DO)
151 SOUTHHALL LN STE 300
MAITLAND, FL 327517172
Phone:
Type: Mailing
501 OFFICE CENTER DR STE 190-195
FORT WASHINGTON, PA 190343220
Phone: (215) 836-7900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $1,782.
Total Amount is formed as General ($1,782) + Research ($0) + Ownership ($0) = $1,782.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($503).
Total Amount
$1,782
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,782
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $503 |
| Janssen Biotech, Inc. | $149 |
| Dermavant Sciences, Inc. | $134 |
| Lilly USA, LLC | $108 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $87 |
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: 2017-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171019000329 | I | Dermatology | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 170 | 27 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 43 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 24 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 27 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 23 | $0 |
Insurance plans in this area (ZIP 32751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| - | NJ | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA |
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