MR. SMATHORN THAKOLWIBOON MD
NPI 1619497161
Psychiatry & Neurology - Neurology in La Crosse, WI

Q: What is Smathorn Thakolwiboon's NPI number?

The NPI number for Smathorn Thakolwiboon is 1619497161. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Q: What is Smathorn Thakolwiboon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since June 26, 2017PECOS EnrolledAccepts Medicare Assignment

99.95/100

CMS Quality Rating

800 WEST AVE S, LA CROSSE, WI 54601(608) 785-0940 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Jul 27, 2023, May 25, 2023 and 2 more (5 updates tracked since 2017).

On this page

About Mr. Smathorn Thakolwiboon Md NPPES

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

MR. SMATHORN THAKOLWIBOON MD (NPI 1619497161) is an individual neurology provider in La Crosse, Wisconsin, licensed in Wisconsin (81956) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Winona Health Services, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619497161

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMR. SMATHORN THAKOLWIBOONCredential: MD

Location Address800 WEST AVE SLa Crosse, WI 54601-8806

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(608) 785-0940

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 26, 2017

Last NPPES UpdateAugust 23, 20235 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1619497161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in WI · 81956✔ Licensed in MN · 71046✔ Licensed in TX · BP10059611

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

800 WEST AVE S, La Crosse, WI 54601

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 1st St SWRochester, MN 55905-8321 · Phone (507) 284-2511

Location 23601 4th St Stop 8321Lubbock, TX 79430-8321 · Phone (806) 743-2391

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.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

Mr. Smathorn Thakolwiboon 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 ID1759653520

PECOS Enrollment IDI20231212002045

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 8

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

174 services70 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

133 services98 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

69 services69 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.

44 services44 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.

42 services37 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.

28 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Winona Health Services

Acute Care Hospitals · Winona, MN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240044

Location855 Mankato AvenueWinona, MN 55987 · Winona County

Emergency services Birthing friendly

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520004

Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521305

Location310 W Main StSparta, WI 54656 · Monroe County

Emergency services

Tomah Memorial Hospital

Critical Access Hospitals · Tomah, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521320

Location501 Gopher DrTomah, WI 54660 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

99.95/100

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

Scored through an Alternative Payment Model

Quality

92.89

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

CAROL GOULET PH.D.

Psychologist (Clinical)