PLOYPIN LERTJITBANJONG (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1487175394
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
345 CRITICAL CARE (INTENSIVISTS) in TN
Provider Addresses for PLOYPIN LERTJITBANJONG (MD)
1050 MARSH ST UNIT 302
MANKATO, MN 560011130
Phone: (201) 981-1959
Type: Mailing
PO BOX 725
COOPERSTOWN, NY 133260725
Phone: (607) 547-3456
Fax: (607) 547-6612
Type: Mailing
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 381631301
Phone: (901) 448-5814
Type: Location
1025 MARSH ST
MANKATO, MN 560014752
Phone: (507) 625-4031
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: 2023-07-05
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 |
|---|---|---|---|---|
| I20230705001594 | I | Critical Care (Intensivists) | MN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 36 | $0 |
| 99291 | Critical care, first 30-74 minutes | 16 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 56001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Internal Medicine | ONTARIO | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | AR |
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