DR. SOMPHANH TYNOI KHOUSAKOUN D.O.
NPI 1205279759
Psychiatry & Neurology - Neurology in Clearwater, FL

Q: What is Somphanh Khousakoun's NPI number?

The NPI number for Somphanh Khousakoun is 1205279759. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Q: What is Somphanh Khousakoun's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment

501 S LINCOLN AVE STE 26, CLEARWATER, FL 33756(727) 498-0808(727) 477-8303 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2024, May 14, 2024, Dec 14, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Somphanh Tynoi Khousakoun D.o. NPPES

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

DR. SOMPHANH TYNOI KHOUSAKOUN D.O. (NPI 1205279759) is an individual neurology provider in Clearwater, Florida, licensed in Florida (OS14703) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Orlando Health Bayfront Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2013).

NPPES Registry Identity

NPI1205279759

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. SOMPHANH TYNOI KHOUSAKOUNCredential: D.O.

Location Address501 S LINCOLN AVE STE 26Clearwater, FL 33756-5964

Mailing Address501 S Lincoln Ave Ste 26Clearwater, FL 33756-5964 · (727) 498-0808 · Fax (727) 477-8303

Phone(727) 498-0808

Fax(727) 477-8303

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2013

Enumeration DateApril 15, 2013

Last NPPES UpdateJuly 29, 20254 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1205279759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in FL · OS14703

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

501 S LINCOLN AVE STE 26, Clearwater, FL 33756

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Other Identifiers 1

Medicaid022915800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Somphanh Tynoi Khousakoun D.o. 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 ID5890001143

PECOS Enrollment IDI20180106000022

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 7

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.

101 services100 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

85 services63 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

82 services75 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

78 services38 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.

52 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100032

Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County

Emergency services Birthing friendly

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100265

Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers11 claims45 services$1.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ANOUSONE KAREN KHAMPHOUMY APRN

Nurse Practitioner (Family)

501 S LINCOLN AVE STE 26
CLEARWATER, FL 33756

Pinellas County (727) 498-0808

TAMPA BAY NEUROCOGNITIVE INSTITUTE PLLC

Psychiatry & Neurology (Neurology)

501 S LINCOLN AVE STE 26
CLEARWATER, FL 33756

Pinellas County (727) 498-0808

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 Somphanh Khousakoun's NPI number?

The NPI number for Somphanh Khousakoun is 1205279759. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Somphanh Khousakoun located?

Somphanh Khousakoun practices at 501 S Lincoln Ave Ste 26, Clearwater, FL 33756. The listed phone number is (727) 498-0808.

What is Somphanh Khousakoun's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Somphanh Khousakoun enrolled in Medicare?

Yes. Somphanh Khousakoun 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 Somphanh Khousakoun accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Somphanh Khousakoun 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 Somphanh Khousakoun affiliated with any hospitals?

According to CMS data, Somphanh Khousakoun is affiliated with Orlando Health Bayfront Hospital, St Anthonys Hospital, St Josephs Hospital, Morton Plant Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Somphanh Khousakoun was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.