BOUNTHAVY HOMSOMBATH MD
NPI 1225281330
Surgery - Surgical Critical Care in Augusta, GA

Q: What is Bounthavy Homsombath's NPI number?

The NPI number for Bounthavy Homsombath is 1225281330. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Q: What is Bounthavy Homsombath's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

3675 J DEWEY GRAY CIR, SUITE 300, AUGUSTA, GA 30909(706) 863-9595(888) 745-3917 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2025, May 5, 2022, May 18, 2021 and 2 more (5 updates tracked since 2020).

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About Bounthavy Homsombath Md NPPES

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

BOUNTHAVY HOMSOMBATH MD (NPI 1225281330) is an individual surgical critical care provider in Augusta, Georgia, licensed in Georgia (068031) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1225281330

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameBOUNTHAVY HOMSOMBATHCredential: MD

Location Address3675 J DEWEY GRAY CIR, SUITE 300Augusta, GA 30909-1868

Mailing AddressPo Box 3726Augusta, GA 30914-3726 · (706) 863-9595 · Fax (888) 745-3917

Phone(706) 863-9595

Fax(888) 745-3917

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2005

Enumeration DateNovember 3, 2008

Last NPPES UpdateMarch 7, 20255 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1225281330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

Licenses✔ Licensed in GA · 068031✔ Licensed in TN · MD0000063863✔ Licensed in TX · Q6030✔ Licensed in FL · 117401✔ Licensed in SC · MD35525

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 68031 (GA)

3675 J DEWEY GRAY CIR, Augusta, GA 30909

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Secondary Practice Location 1

Location 13651 Wheeler RdAugusta, GA 30909-6521 · Phone (706) 863-9595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bounthavy Homsombath Md 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 ID9032375720

PECOS Enrollment IDI20120724001024, I20130722000408, I20170518001743

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.

Medicare Billing Reassignment

Medicare enrollment records show Bounthavy Homsombath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Joseph M Still Burn Centers, Inc

Same address

Specialist

3675 J DEWEY GRAY CIRCLE, SUITE 300
Augusta, GA 30909

Reassigned Medicare billing, Georgia, South Carolina and Texas enrollments
33 clinicians in this Medicare group

NPI 1215904909 (706) 863-9595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15003

This procedure involves preparing a specific area of your body (trunk, arms, or legs) for a skin graft. The area is cleaned and treated to receive new skin, usually to aid in healing from a burn or wound. The size of the area treated is up to 100.0 sq cm or 1% of a child's body area.

659 services54 patients

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15274

This procedure involves applying a skin substitute graft to a large wound on your trunk, arms, or legs. The graft, made from synthetic or natural materials, aids in healing by covering and protecting the wound. The size of the graft depends on the wound's area.

520 services43 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

164 services89 patients

Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15101

This is a procedure where a thin layer of skin is taken from a healthy area of your body and placed onto a wound on your trunk, arms, or legs. It is used to promote healing and reduce scarring. The measurement mentioned refers to the size of the graft.

102 services22 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less 15005

This procedure involves preparing an area of your body for a skin graft. The graft could be on your face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The preparation ensures the graft will adhere properly for optimal healing.

101 services16 patients

Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less 15278

This procedure involves applying a skin substitute graft to a large wound area on the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft, made from synthetic or natural materials, aids in healing and restoring the skin's function. For infants and children, the coverage may be based on the body area percentage.

91 services14 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

88 services64 patients

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15273

A skin substitute graft is a medical procedure where artificial skin is used to cover a large wound on the trunk, arms, or legs. This treatment helps promote healing and is especially useful for wounds 100.0 sq cm or more, or 1% of body area for infants and children.

68 services43 patients

Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15100

A partial thickness self skin graft involves taking a thin layer of healthy skin from one area of your body and transplanting it to a damaged area on your trunk, arms, or legs. This procedure is used to treat a variety of skin conditions and injuries. It covers a maximum of 100.0 sq cm or 1% of body area for infants and children.

44 services38 patients

Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less 15272

This procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.

39 services16 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

38 services35 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

30 services26 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less 15276

This procedure involves applying a skin-like material to a wound on specific body areas to aid healing. The material, which mimics real skin, helps promote new skin growth. It's used for wounds of up to 100 sq cm, with each additional 25 sq cm treated separately.

28 services19 patients

Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm 97606

This procedure involves a special bandage and vacuum pump to promote healing in large wounds. The bandage is applied to the wound, then the vacuum pump removes air, creating a seal. This helps to draw out fluid and increase blood flow to the area, speeding up healing.

25 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services12 patients

Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15120

A partial thickness self skin graft involves taking a thin layer of skin from a healthy part of your body and transplanting it to a damaged area. This procedure is used for areas such as the face, scalp, eyelids, mouth, neck, ears, hands, feet, fingers, or toes. It covers up to 100.0 sq cm or 1% body area for infants and children.

19 services18 patients

Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15277

This procedure involves grafting a skin substitute onto a large wound, located on the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft helps promote healing and reduces the risk of infection. It's suitable for wounds 100.0 sq cm or more, or 1% body area for infants and children.

19 services14 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

18 services18 patients

Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less 97605

This procedure, known as Negative Pressure Wound Therapy, involves a special bandage and vacuum pump. The bandage covers your wound and the pump creates a vacuum, enhancing healing by removing excess fluid and promoting tissue growth. The surface area treated is 50.0 sq cm or less.

15 services12 patients

Dressing change under anesthesia 15852

"Dressing change under anesthesia" is a procedure where a healthcare provider changes a wound dressing while the patient is under anesthesia. This is usually done for deep or painful wounds. The anesthesia helps to manage pain and discomfort during the procedure.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110177

Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County

Emergency services Birthing friendly

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.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

59%122 patients3/55-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 13

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

DENA MARIE HAMMOND PA-C

Physician Assistant (Surgical)

3675 J DEWEY GRAY CIR, STE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

MRS. SHAUNTAE MCLAMORE JOHNSON PHYSICIAN ASST CERTI

Physician Assistant (Surgical)

3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

DR. SHAWN P FAGAN M.D.

Surgery

3675 J DEWEY GRAY CIR, STE. 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

MRS. SHAY ALISA WHITE PA

Physician Assistant

3675 J DEWEY GRAY CIR, STE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

ERIN KRENZ PA-C

Physician Assistant

3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

JOSE RAUL PONTE JR. MD

Pediatrics (Pediatric Critical Care Medicine)

3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

MRS. CRYSTAL WHITAKER HELMLY FNP

Nurse Practitioner (Family)

3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

MRS. ANSLEY THOMPSON COFFEY PA

Physician Assistant

3675 J DEWEY GRAY CIR, SUITE 300
AUGUSTA, GA 30909

Richmond County (706) 863-9595

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 Bounthavy Homsombath's NPI number?

The NPI number for Bounthavy Homsombath is 1225281330. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Bounthavy Homsombath located?

Bounthavy Homsombath practices at 3675 J Dewey Gray Cir Suite 300, Augusta, GA 30909. The listed phone number is (706) 863-9595.

What is Bounthavy Homsombath's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Bounthavy Homsombath enrolled in Medicare?

Yes. Bounthavy Homsombath 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.

Which organization bills Medicare for Bounthavy Homsombath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bounthavy Homsombath reassigns Medicare benefits to Joseph M Still Burn Centers, Inc (Augusta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bounthavy Homsombath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bounthavy Homsombath accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 7 other insurers list Bounthavy Homsombath 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 Bounthavy Homsombath affiliated with any hospitals?

According to CMS data, Bounthavy Homsombath is affiliated with Piedmont Augusta Hospital, Au Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Bounthavy Homsombath was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.