THEERAPOL PRASERTSUNTARASAI (MD) – Rheumatology Physician, NPI 1245373380

THEERAPOL PRASERTSUNTARASAI (MD) is a healthcare provider. based in Lubbock, Texas. specializing in RHEUMATOLOGY, ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. MD28385 (OR). The NPI Number for THEERAPOL PRASERTSUNTARASAI (MD) is 1245373380

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
THEERAPOL PRASERTSUNTARASAI (MD)
NPI
1245373380
Phone
(806) 771-2400
Address
5220 80TH ST
Enumeration Date
15 February 2007
Last Update Date
31 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8065891778
Graduation Year
2000 (26 years ago)
PAC ID
6901951300
Group Practice PAC ID
2961819560
Professional Enrollment ID
I20170719002483
Address ID
TX794246985LU5609XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

503 RHEUMATOLOGY in TX

Provider Addresses for THEERAPOL PRASERTSUNTARASAI (MD)

  • 5220 80TH ST

    LUBBOCK, TX 794242862

    Phone: (806) 771-2400

    Fax: (806) 771-7760

    Type: Mailing

  • 5609 114TH ST

    LUBBOCK, TX 79424

    Phone: (806) 589-1778

    Fax: (806) 589-1779

    Type: Mailing

  • 12402 Slide Rd Ste 306

    Lubbock, TX 794248322

    Phone: (806) 589-1778

    Fax: (806) 589-1779

    Type: Location

  • 5220 80th St

    Lubbock, TX 794242862

    Phone: (806) 771-2400

    Fax: (806) 771-7760

    Type: Location

  • 1365 Poplar Dr

    Medford, OR 975045207

    Phone: (541) 773-2233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 220 Open Payments records for all available years, with a total value of $4,054.

Total Amount is formed as General ($4,054) + Research ($0) + Ownership ($0) = $4,054.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($530).

Total Amount

$4,054

General + Research + Ownership

Payments

220

Total payment records

General Amount

$4,054

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170719002483IRheumatologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1745Injection, infliximab, excludes biosimilar, 10 mg14,27850$0
J1602Injection, golimumab, 1 mg, for intravenous use9,15014$0
J9312Injection, rituximab, 10 mg7,25030$0
J0897Injection, denosumab, 1 mg3,36042$0
96415Administration of chemotherapy into vein, each additional hour45173$0
View full utilization report →

Insurance plans in this area (ZIP 79424)

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Provider's Procedures

THEERAPOL PRASERTSUNTARASAI (MD) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYTX96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention16444
RHEUMATOLOGYTX96415Infusion of chemotherapy into a vein47473

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961819560View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify THEERAPOL PRASERTSUNTARASAI (MD) with an NPI only?
You can start verification with NPI 1245373380 for THEERAPOL PRASERTSUNTARASAI (MD), then check state licensing separately.
Does CMS list THEERAPOL PRASERTSUNTARASAI (MD) as active?
Yes — THEERAPOL PRASERTSUNTARASAI (MD) is active in the NPI listing used on this page.
What healthcare role does THEERAPOL PRASERTSUNTARASAI (MD) hold?
Scheduling teams often label THEERAPOL PRASERTSUNTARASAI (MD) under Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect THEERAPOL PRASERTSUNTARASAI (MD) on a map?
Expect Lubbock, Texas as a primary anchor for THEERAPOL PRASERTSUNTARASAI (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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