GEMMA M SOOKPRASONG DO
NPI 1386134757
Family Medicine in Cedar Hill, TX

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
294 UPTOWN BLVD STE 100, CEDAR HILL, TX 75104(972) 817-6300 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Jul 28, 2020, May 11, 2018 (3 updates tracked since 2018).

About Gemma M Sookprasong Do NPPES

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

GEMMA M SOOKPRASONG DO (NPI 1386134757) is an individual family medicine provider in Cedar Hill, Texas, licensed in Texas (S3880) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386134757
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGEMMA M SOOKPRASONGCredential: DO
Location Address294 UPTOWN BLVD STE 100Cedar Hill, TX 75104-3537
Mailing Address294 Uptown Blvd Ste 100Cedar Hill, TX 75104-3537 · (972) 817-6300 · Fax (254) 313-4531
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1386134757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · S3880 Licensed in TX · BP10063989
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.

294 UPTOWN BLVD STE 100, Cedar Hill, TX 75104

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

Gemma M Sookprasong Do 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 ID5294133013
PECOS Enrollment IDI20211008001821
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 3

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services32 patients
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.
31 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75104 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

Nurse Practitioner (Family)
294 UPTOWN BLVD STE 100
CEDAR HILL, TX 75104
Family Medicine
294 UPTOWN BLVD STE 100
CEDAR HILL, TX 75104
Family Medicine
294 UPTOWN BLVD STE 100
CEDAR HILL, TX 75104

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 Gemma Sookprasong's NPI number?

The NPI number for Gemma Sookprasong is 1386134757. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Gemma Sookprasong located?

Gemma Sookprasong practices at 294 Uptown Blvd Ste 100, Cedar Hill, TX 75104. The listed phone number is (972) 817-6300.

What is Gemma Sookprasong's specialty?

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

Is Gemma Sookprasong enrolled in Medicare?

Yes. Gemma Sookprasong 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 Gemma Sookprasong accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Gemma Sookprasong 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 Gemma Sookprasong affiliated with any hospitals?

According to CMS data, Gemma Sookprasong is affiliated with Baylor Scott & White Medical Center- Waxahachie.

When was this NPI record last updated?

The NPPES record for Gemma Sookprasong was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.