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DR. ATIPON KANGWANPORNSIRI M.D.
NPI 1487854816
Internal Medicine in Nipomo, CA

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment
150 TEJAS PL, NIPOMO, CA 93444(805) 929-3211(805) 929-6354 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Atipon Kangwanpornsiri M.d. NPPES

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

DR. ATIPON KANGWANPORNSIRI M.D. (NPI 1487854816) is an individual internal medicine provider in Nipomo, California, licensed in California (A118291) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487854816
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ATIPON KANGWANPORNSIRICredential: M.D.
Location Address150 TEJAS PLNipomo, CA 93444-9123
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8030 · Fax (805) 361-8097
Phone(805) 929-3211
Fax(805) 929-6354
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 24, 2007
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1487854816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A118291
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 36759 (SC)
150 TEJAS PL, Nipomo, CA 93444
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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. Atipon Kangwanpornsiri M.d. 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 ID8729239330
PECOS Enrollment IDI20150831002677
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
79 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93444 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,063 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
60%213 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%37 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%1,212 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%1,212 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,212 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%1,212 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers86 claims157 services$4.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers54 claims58 services$0.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$83.45 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$19.45 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 20

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

TAMMY L BONENFANT
Dental Hygienist
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 938-0935
PATTI A HAMERNIK M.D.
Pediatrics
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3211
ROBERT ALAN REED PHARMD
Pharmacist
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 270-1801
MR. DONALD EDWARD CASEBOLT NURSE PRACTITIONER
Nurse Practitioner (Family)
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3211
HENRY LEE M.D
Psychiatry & Neurology (Neurology)
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 938-0935
CHCCC COMMUNITY HEALTH CENTER PHARMACY OF THE CENTRAL COAST
Pharmacy (Clinic Pharmacy)
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 270-1800
CHC
Health Maintenance Organization
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3254
DR. RAJ BHUPENDRA LOTWALA DDS
Dentist
150 TEJAS PL
NIPOMO, CA 93444
San Luis Obispo County (805) 931-2653

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 Atipon Kangwanpornsiri's NPI number?

The NPI number for Atipon Kangwanpornsiri is 1487854816. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Atipon Kangwanpornsiri located?

Atipon Kangwanpornsiri practices at 150 Tejas Pl, Nipomo, CA 93444. The listed phone number is (805) 929-3211.

What is Atipon Kangwanpornsiri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atipon Kangwanpornsiri enrolled in Medicare?

Yes. Atipon Kangwanpornsiri 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.

When was this NPI record last updated?

The NPPES record for Atipon Kangwanpornsiri was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.