PHONEKEO KHAMVANTHONG (MD) – Family Medicine Physician, NPI 1750519922
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for PHONEKEO KHAMVANTHONG (MD)
3517 W OWEN K GARRIOTT RD STE 4
ENID, OK 737034953
Phone: (580) 233-5553
Fax: (859) 260-4350
Type: Location
4071, Tates Creek Centre Drive, Jonestown, Lexington, Fayette County, Kentucky, 40517, United States
SUITE 202
LEXINGTON, KY 405173062
Phone: (859) 260-6348
Fax: (859) 260-4350
Type: Mailing
Baptist Health, 1740, Nicholasville Road, Southern Heights, Shawneetown, Lexington, Fayette County, Kentucky, 40503, United States
LEXINGTON, KY 405031431
Phone: (859) 260-6348
Fax: (859) 260-4350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $307.
Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($52).
Total Amount
$307
General + Research + Ownership
Payments
16
Total payment records
General Amount
$307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $52 |
| ABBVIE INC. | $51 |
| Dexcom, Inc. | $38 |
| Amgen Inc. | $32 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $27 |
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: 2026-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230213000691 | I | Family Practice | OK | TBD |
| I20260206003689 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 444 | 203 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 86 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 105 | 105 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 35 | 17 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 26 | 26 | $0 |
Insurance plans in this area (ZIP 73703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OK | |
| Family Practice | PA | |
| Nurse Practitioner | OK | |
| Internal Medicine, Endocrinology | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OK | |
| General Surgery | OK | |
| Cardiovascular Disease (Cardiology) | OK | |
| Family Practice | OK |
Reviews
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