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EMILY ASSAVAPISITKUL
NPI 1174020754
Family Medicine in Port Orchard, WA

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
1400 POTTERY AVE, PORT ORCHARD, WA 98366(360) 895-5000(877) 516-9023 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Aug 17, 2021, Apr 10, 2018 (3 updates tracked since 2018).

About Emily Assavapisitkul NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY ASSAVAPISITKUL (NPI 1174020754) is an individual family medicine provider in Port Orchard, Washington, licensed in Washington (MD61447732) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Killeen, and is a graduate of Loma Linda University School Of Medicine (2018).

NPPES Registry Identity

NPI1174020754
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEMILY ASSAVAPISITKUL
Location Address1400 POTTERY AVEPort Orchard, WA 98366-3711
Mailing Address1400 Pottery AvePort Orchard, WA 98366-3768 · (360) 895-5000 · Fax (877) 516-9023
Phone(360) 895-5000
Fax(877) 516-9023
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateSeptember 29, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1174020754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD61447732✔ Licensed in TX · T0416
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 POTTERY AVE, Port Orchard, WA 98366
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Secondary Practice Location 1

Location 13801 Scott and White DrKilleen, TX 76543-5252 · Phone (254) 680-1100 · Fax (254) 699-3835

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Assavapisitkul is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971912197
PECOS Enrollment IDI20231013001738
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98366 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Clinic/Center (Multi-Specialty)
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
BARBARA T HEPFER ARNP
Nurse Practitioner (Family)
1400 POTTERY AVE, OC MED
PORT ORCHARD, WA 98366
Kitsap County (253) 895-5000
CHRISTINE AGBAYANI LOMOTAN M.D.
Family Medicine
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
DR. CHRISTOPHER MATHIAS GUNAWAN MD
Pediatrics
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
MRS. REBECCA ABAGAIL HUNT M.S.
Counselor (Mental Health)
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
DR. GREGORY HOWARD CAIN MD
Pediatrics
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
RONALD C PURBAUGH
Pharmacist
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
RICHARD J. TANAKA M.D.
Family Medicine
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Assavapisitkul's NPI number?

The NPI number for Emily Assavapisitkul is 1174020754. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Emily Assavapisitkul located?

Emily Assavapisitkul practices at 1400 Pottery Ave, Port Orchard, WA 98366. The listed phone number is (360) 895-5000.

What is Emily Assavapisitkul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Emily Assavapisitkul enrolled in Medicare?

Yes. Emily Assavapisitkul is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emily Assavapisitkul was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.