THEERAPOL PRASERTSUNTARASAI (MD) – Rheumatology Physician, NPI 1245373380
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $530 |
| Amgen Inc. | $458 |
| GlaxoSmithKline, LLC. | $456 |
| ABBVIE INC. | $454 |
| Janssen Biotech, Inc. | $443 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170719002483 | I | Rheumatology | TX | 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 |
|---|---|---|---|---|
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 14,278 | 50 | $0 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 9,150 | 14 | $0 |
| J9312 | Injection, rituximab, 10 mg | 7,250 | 30 | $0 |
| J0897 | Injection, denosumab, 1 mg | 3,360 | 42 | $0 |
| 96415 | Administration of chemotherapy into vein, each additional hour | 451 | 73 | $0 |
Insurance plans in this area (ZIP 79424)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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