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DR. PREECHA SUPANWANID M.D.
NPI 1669661450
Plastic Surgery in East Lansing, MI

Active since October 17, 2007PECOS Enrolled
921 ABBOT RD, EAST LANSING, MI 48823(517) 336-6950(517) 336-6952 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Preecha Supanwanid M.d. NPPES

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

DR. PREECHA SUPANWANID M.D. (NPI 1669661450) is an individual plastic surgery provider in East Lansing, Michigan, licensed in Michigan (4301037471) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669661450
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. PREECHA SUPANWANIDCredential: M.D.
Location Address921 ABBOT RDEast Lansing, MI 48823-3170
Mailing Address921 Abbot RdEast Lansing, MI 48823-3170 · (517) 336-6950 · Fax (517) 336-6952
Phone(517) 336-6950
Fax(517) 336-6952
Sole ProprietorYes
Enumeration DateOctober 17, 2007
Last NPPES UpdateMarch 11, 2008
✔ NPI 1669661450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 4301037471
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
921 ABBOT RD, East Lansing, MI 48823
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Other Identifiers 1

Medicare PINP52390001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Preecha Supanwanid M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%74 patients5/55-star benchmark: 100%
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.
100%20 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

PREECHA SUPANWANID MD PC
Specialist
921 ABBOT RD
EAST LANSING, MI 48823
Ingham County (517) 336-6950

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 Preecha Supanwanid's NPI number?

The NPI number for Preecha Supanwanid is 1669661450. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Preecha Supanwanid located?

Preecha Supanwanid practices at 921 Abbot Rd, East Lansing, MI 48823. The listed phone number is (517) 336-6950.

What is Preecha Supanwanid's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Preecha Supanwanid enrolled in Medicare?

Yes. Preecha Supanwanid is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Preecha Supanwanid was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.