DR. SUPHAGAPHAN RATANAMANEECHAT (M.D.) – Hospitalist Physician, NPI 1760727382
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
918 INTERNAL MEDICINE in ME
Provider Addresses for DR. SUPHAGAPHAN RATANAMANEECHAT (M.D.)
PO BOX 468
SKOWHEGAN, ME 049760468
Phone: (207) 474-5121
Type: Mailing
46 FAIRVIEW AVE
SKOWHEGAN, ME 049761481
Phone: (207) 474-5121
Fax: (207) 858-2415
Type: Location
46 Fairview Ave
Skowhegan, ME 049761481
Phone: (207) 474-5121
Fax: (207) 858-2415
Type: Location
1 MEDICAL CENTER DR
LEBANON, NH 037560001
Phone: (603) 650-8380
Fax: (603) 640-1228
Type: Location
ONE MEDICAL CENTER DR
LEBANON, NH 037560001
Phone: (603) 650-8380
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: 2020-10-22
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 |
|---|---|---|---|---|
| I20201022000712 | I | Hospitalist | NH | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 117 | 114 | $0 |
Insurance plans in this area (ZIP 04976)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | NH | |
| Certified Registered Nurse Anesthetist (Crna) | NH | |
| Internal Medicine | NH | |
| Orthopedic Surgery | NH | |
| Nurse Practitioner | VT | |
| Physician Assistant | NH | |
| - | NH | |
| Emergency Medicine | NH | |
| Geriatric Medicine, Internal Medicine | NH | |
| Physician Assistant | CT |
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