BOUNTHAVY HOMSOMBATH (MD) – Surgical Critical Care Physician, NPI 1225281330
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 PLASTIC AND RECONSTRUCTIVE SURGERY in GA
Provider Addresses for BOUNTHAVY HOMSOMBATH (MD)
PO BOX 3726
AUGUSTA, GA 309143726
Phone: (706) 863-9595
Fax: (888) 745-3917
Type: Mailing
3651 Wheeler Rd
Augusta, GA 309096521
Phone: (706) 863-9595
Type: Location
3675, J Dewey Gray Circle, Augusta, Richmond County, Georgia, 30909, United States
SUITE 300
AUGUSTA, GA 309091868
Phone: (706) 863-9595
Fax: (888) 745-3917
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $13,019.
Total Amount is formed as General ($13,019) + Research ($0) + Ownership ($0) = $13,019.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Vericel Corporation ($12,555).
Total Amount
$13,019
General + Research + Ownership
Payments
7
Total payment records
General Amount
$13,019
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $12,555 |
| Kerecis Limited | $392 |
| Mallinckrodt Hospital Products Inc. | $30 |
| Sanara MedTech Inc. | $23 |
| Medline Industries LP | $19 |
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: 2018-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20120724001024 | I | General Surgery | GA | TBD |
| I20130722000408 | I | General Surgery | SC | TBD |
| I20170518001743 | I | Plastic And Reconstructive Surgery | TX | TBD |
| I20180709002482 | I | Plastic And Reconstructive Surgery | FL | 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 |
|---|---|---|---|---|
| 15003 | Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 995 | 62 | $0 |
| 15274 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 754 | 47 | $0 |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 153 | 94 | $0 |
| 15005 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less | 139 | 31 | $0 |
| 15278 | Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less | 123 | 26 | $0 |
Insurance plans in this area (ZIP 30914)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | GA | 11042 | Removal of skin and tissue first 20 sq cm or less | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | MS | |
| Physician Assistant | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | WI | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), General Surgery, Critical Care (Intensivists) | GA |
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