JASON TYLER DUMRONGKULRAKSA
NPI 1205115573
Physician Assistant in Panama City, FL

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
615 N BONITA AVE, PANAMA CITY, FL 32401(850) 747-6000 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Tyler Dumrongkulraksa NPPES

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

JASON TYLER DUMRONGKULRAKSA (NPI 1205115573) is an individual physician assistant in Panama City, Florida, licensed in Florida (PA9106023) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205115573
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON TYLER DUMRONGKULRAKSA
Location Address615 N BONITA AVEPanama City, FL 32401-3623
Mailing Address615 N Bonita AvePanama City, FL 32401-3623 · (850) 747-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 4, 2011
Last NPPES UpdateDecember 16, 2011
NPI 1205115573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9106023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
615 N BONITA AVE, Panama City, FL 32401

Other Identifiers 1

OtherPA9106023FL · Florida Board Of Medicine

Accepted Insurance

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

Jason Tyler Dumrongkulraksa 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 ID3870748064
PECOS Enrollment IDI20130218000514
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
230 services222 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Calhoun-Liberty Hospital

Critical Access Hospitals · Blountstown, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101304
Location20370 NE Burns AveBlountstown, FL 32424 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%141 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Critical Care Medicine)
615 N BONITA AVE
PANAMA CITY, FL 32401
Nurse Anesthetist, Certified Registered
615 N BONITA AVE
PANAMA CITY, FL 32401
Emergency Medicine
615 N BONITA AVE
PANAMA CITY, FL 32401
Hospitalist
615 N BONITA AVE
PANAMA CITY, FL 32401
Emergency Medicine
615 N BONITA AVE, EMERGENCY DEPARTMENT
PANAMA CITY, FL 32401
Nurse Practitioner (Acute Care)
615 N BONITA AVE
PANAMA CITY, FL 32401
Nurse Practitioner (Family)
615 N BONITA AVE
PANAMA CITY, FL 32401
Emergency Medicine
615 N BONITA AVE
PANAMA CITY, FL 32401

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 Jason Dumrongkulraksa's NPI number?

The NPI number for Jason Dumrongkulraksa is 1205115573. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Jason Dumrongkulraksa located?

Jason Dumrongkulraksa practices at 615 N Bonita Ave, Panama City, FL 32401. The listed phone number is (850) 747-6000.

What is Jason Dumrongkulraksa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jason Dumrongkulraksa enrolled in Medicare?

Yes. Jason Dumrongkulraksa 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.

What insurance does Jason Dumrongkulraksa accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jason Dumrongkulraksa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jason Dumrongkulraksa affiliated with any hospitals?

According to CMS data, Jason Dumrongkulraksa is affiliated with Ascension Sacred Heart Bay, Hca Florida Gulf Coast Hospital and Calhoun-Liberty Hospital.

When was this NPI record last updated?

The NPPES record for Jason Dumrongkulraksa was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.