VERAPAN VONGTHAVARAVAT M.D.
NPI 1528199866
Internal Medicine - Gastroenterology in Oklahoma City, OK

Q: What is Verapan Vongthavaravat's NPI number?

The NPI number for Verapan Vongthavaravat is 1528199866. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Verapan Vongthavaravat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4811 GAILLARDIA PKWY STE 200, OKLAHOMA CITY, OK 73142(405) 751-4199(405) 607-1848 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Verapan Vongthavaravat M.d. NPPES

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

VERAPAN VONGTHAVARAVAT M.D. (NPI 1528199866) is an individual gastroenterology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (21093) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1528199866

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameVERAPAN VONGTHAVARAVATCredential: M.D.

Location Address4811 GAILLARDIA PKWY STE 200Oklahoma City, OK 73142-1874

Mailing Address4811 Gaillardia Pkwy Ste 200Oklahoma City, OK 73142-1874 · (405) 751-4199 · Fax (405) 607-1848

Phone(405) 751-4199

Fax(405) 607-1848

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateMarch 8, 2007

Last NPPES UpdateJuly 11, 2011

✔ NPI 1528199866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OK · 21093

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4811 GAILLARDIA PKWY STE 200, Oklahoma City, OK 73142

Open in Google Maps ↗

Other Identifiers 11

Other7605381WA · Aetna

Medicare ID-Type UnspecifiedP00290066WA · Railroad Medicare

Other9395857WA · Pchs Multiplan

Medicare ID-Type Unspecified8855676WA

Medicaid8428732WA

Medicare UPINH71904WA

Other1017VAWA · Asuris Nw

Medicaid213563OR

Other5741926WA · First Health Ccn Coventry

Other5166925WA · Ppni

Other1017VAWA · Regence Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.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

Verapan Vongthavaravat 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 ID345273553

PECOS Enrollment IDI20060116000141, I20251215000510

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 Reassignments

Medicare enrollment records show Verapan Vongthavaravat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integris Ddsi Endoscopy Centers LLC

5.9 mi

Ambulatory Surgical

10029 N OKLAHOMA AVE STE 100
Oklahoma City, OK 73114

Reassigned Medicare billing, Oklahoma enrollment
Also billed through NPI 1760074207 (Oklahoma)
18 clinicians in this Medicare group

NPI 1497347934 (405) 702-1300

Digestive Disease Specialists Inc

7.2 mi

Gastroenterology

5015 N PENNSYLVANIA AVE, STE. 303
Oklahoma City, OK 73112

Reassigned Medicare billing, Oklahoma enrollment
40 clinicians in this Medicare group

NPI 1366489213 (405) 767-6630

Chickasaw Nation Division Of Health

45 mi

Primary Care

1438 HARDCASTLE BLVD
Purcell, OK 73080

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
324 clinicians in this Medicare group

NPI 1982764395 (405) 527-4700

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 25

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

150 services147 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

139 services107 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

121 services120 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

104 services99 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.

85 services74 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

55 services55 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

47 services46 patients

Monitoring and recording of esophageal function through nasal tube with electrode 91037

This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.

45 services44 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

43 services42 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

38 services38 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services32 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

33 services33 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.

28 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services25 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

24 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

22 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

15 services15 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

15 services15 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

15 services15 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

14 services11 patients

Monitoring and recording of esophageal function through a capsule attached to the esophagus wall 91035

This procedure involves a small capsule being attached to your esophagus wall. It measures and records how your esophagus is functioning, helping to identify any potential issues. You won't feel the capsule and it will pass naturally through your system after a few days.

13 services13 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

12 services11 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370106

Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County

Emergency services Birthing friendly

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370211

Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County

Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370236

Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County

Emergency services Birthing friendly

Weatherford Regional Hospital, Inc Of Weatherford

Critical Access Hospitals · Weatherford, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371323

Location3701 E MainWeatherford, OK 73096 · Custer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73142 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

75/100

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

Individually scored

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.

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

1 supplier16 claims80 services$7.12 avg. paid by Medicare

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

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 Verapan Vongthavaravat's NPI number?

The NPI number for Verapan Vongthavaravat is 1528199866. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Verapan Vongthavaravat located?

Verapan Vongthavaravat practices at 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142. The listed phone number is (405) 751-4199.

What is Verapan Vongthavaravat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Verapan Vongthavaravat enrolled in Medicare?

Yes. Verapan Vongthavaravat 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 organizations bill Medicare for Verapan Vongthavaravat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Verapan Vongthavaravat reassigns Medicare benefits to 3 organizations: Integris Ddsi Endoscopy Centers LLC (Oklahoma City, OK), Digestive Disease Specialists Inc (Oklahoma City, OK) and Chickasaw Nation Division Of Health (Purcell, OK). Each 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 Verapan Vongthavaravat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Verapan Vongthavaravat accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Verapan Vongthavaravat 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 Verapan Vongthavaravat affiliated with any hospitals?

According to CMS data, Verapan Vongthavaravat is affiliated with Integris Baptist Medical Center, Inc, Integris Southwest Medical Center, Integris Canadian Valley Hospital, Integris Health Edmond Hospital and Weatherford Regional Hospital, Inc Of Weatherford.

When was this NPI record last updated?

The NPPES record for Verapan Vongthavaravat was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.