MR. THEK MOUANOUTOUA PA-C
NPI 1275772964
Physician Assistant in Fresno, CA

Active since February 19, 2009PECOS Enrolled
4929 E KINGS CANYON RD, FRESNO, CA 93727(559) 255-6476 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Thek Mouanoutoua Pa-c NPPES

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

MR. THEK MOUANOUTOUA PA-C (NPI 1275772964) is an individual physician assistant provider in Fresno, California, licensed in California (20176) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated December 21, 2011.

NPPES Registry Identity

NPI1275772964
Entity TypeIndividualMale
Provider Legal NameMR. THEK MOUANOUTOUACredential: PA-C
Location Address4929 E KINGS CANYON RDFresno, CA 93727-3812
Mailing Address4929 E. Kings Canyon RoadFresno, CA 93727-3812 · (559) 255-6476
Sole ProprietorYes
Enumeration DateFebruary 19, 2009
Last NPPES UpdateDecember 21, 2011
NPI 1275772964 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant

Taxonomy 363A00000X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in CA · 20176

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… Show more

4929 E KINGS CANYON RD, Fresno, CA 93727

Medicare Participation & PECOS Enrollment Status

Thek Mouanoutoua is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    11 DME suppliers used 60 Medicare Claims 107 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    10 DME suppliers used 37 Medicare Claims 38 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 40 Medicare Claims 40 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    2 DME suppliers used 40 Medicare Claims 40 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 93727 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.32
  • Minimum New Patient Price $58.87
  • Maximum New Patient Price $176.6
  • Average New Patient Copayment $22.58
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.16
  • Minimum Established Patient Price $19.28
  • Maximum Established Patient Price $144.6
  • Average Established Patient Copayment $18.29
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.15

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. THEK MOUANOUTOUA PA-C

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physician Assistant
4929 E KINGS CANYON RD
FRESNO, CA 93727
Psychiatry & Neurology (Psychiatry)
4929 E KINGS CANYON RD
FRESNO, CA 93727
Physician Assistant (Medical)
4929 E KINGS CANYON RD
FRESNO, CA 93727
Social Worker (Clinical)
4929 E KINGS CANYON RD
FRESNO, CA 93727
Nurse Practitioner (Family)
4929 E KINGS CANYON RD
FRESNO, CA 93727
Nurse Practitioner
4929 E KINGS CANYON RD
FRESNO, CA 93727
Nurse Practitioner (Family)
4929 E KINGS CANYON RD
FRESNO, CA 93727
Exclusive Provider Organization
4929 E KINGS CANYON RD
FRESNO, CA 93727
Exclusive Provider Organization
4929 E KINGS CANYON RD
FRESNO, CA 93727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275772964, enumerated as an "individual" on February 19, 2009.

The provider is located at 4929 E KINGS CANYON RD FRESNO, CA 93727 and the phone number is (559) 255-6476.

Physician Assistant with taxonomy code 363A00000X.