DR. BILLY PITAPONG VANASUPA D.O.
NPI 1689774507
Urology in Saint Augustine, FL

Q: What is Billy Vanasupa's NPI number?

The NPI number for Billy Vanasupa is 1689774507. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Billy Vanasupa's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Billy Vanasupa was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

240 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086(904) 824-1450(386) 239-8530 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2021, Nov 6, 2018 (2 updates tracked since 2018).

On this page

About Dr. Billy Pitapong Vanasupa D.o. NPPES

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

DR. BILLY PITAPONG VANASUPA D.O. (NPI 1689774507) is an individual urology provider in Saint Augustine, Florida, licensed in Florida (OS14893) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1997).

NPPES Registry Identity

NPI1689774507

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. BILLY PITAPONG VANASUPACredential: D.O.

Location Address240 SOUTHPARK CIR ESaint Augustine, FL 32086-5137

Mailing Address12109 County Road 103Oxford, FL 34484-2951 · (352) 205-8981 · Fax (352) 391-6498

Phone(904) 824-1450

Fax(386) 239-8530

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1997

Enumeration DateSeptember 22, 2006

Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1689774507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · OS14893

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

240 SOUTHPARK CIR E, Saint Augustine, FL 32086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.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

Dr. Billy Pitapong Vanasupa D.o. 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 ID1850422981

PECOS Enrollment IDI20180725001231

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 Billy Vanasupa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Urology Institute, LLC

77 mi

Urology

12109 COUNTY ROAD 103
Oxford, FL 34484

Reassigned Medicare billing, Florida enrollment
132 clinicians in this Medicare group

NPI 1023447935 (352) 391-6494

Capital Medical Center Specialty Physicians, LLC

2,510 mi

Occupational Medicine

3900 CAPITOL MALL DR SW
Olympia, WA 98502

Reassigned Medicare billing, Washington enrollment
220 clinicians in this Medicare group

NPI 1760785281 (360) 956-1299

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 27

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

4,380 services21 patients

Injection, degarelix, 1 mg J9155

Degarelix injection is a medication administered under the skin to manage certain health conditions. It works by reducing specific hormone levels in the body to slow down disease progression. The dosage is 1 mg, and it is typically given by a healthcare professional.

4,160 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

1,305 services761 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.

1,137 services656 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.

480 services410 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

292 services195 patients

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.

175 services150 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

150 services40 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

144 services120 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

86 services37 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

72 services14 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

70 services31 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

68 services27 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.

65 services65 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

63 services49 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

56 services42 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

55 services20 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

51 services24 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.

43 services36 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

40 services36 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

27 services26 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

25 services24 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

22 services22 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

17 services17 patients

Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope 52214

This procedure involves the use of a special tool called an endoscope to remove or destroy abnormal tissue in the bladder or urethra. It's done to treat certain conditions and improve your health.

15 services14 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

14 services14 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100232

Location611 Zeagler DrPalatka, FL 32177 · Putnam County

Emergency services

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100361

Location205 Trinity WaySt Johns, FL 32259 · St. Johns County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers16 claims7,080 services$1.70 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 5

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

HOWARD B EPSTEIN MD

Urology

240 SOUTHPARK CIR E
ST AUGUSTINE, FL 32086

St. Johns County (904) 824-1450

MRS. KATHERINE ELIZABETH GARDNER N.P.

Nurse Practitioner (Family)

240 SOUTHPARK CIR E
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 824-1450

DEAN J ZIMMERMANN PA-C

Physician Assistant

240 SOUTHPARK CIR E
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 824-1450

DR. GORDON LUCAS FIFER MD

Urology

240 SOUTHPARK CIR E
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 824-1450

ADVANCED UROLOGY INSTITUTE LLC

Non-Pharmacy Dispensing Site

240 SOUTHPARK CIR E
ST AUGUSTINE, FL 32086

St. Johns County (904) 824-1490

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 Billy Vanasupa's NPI number?

The NPI number for Billy Vanasupa is 1689774507. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Billy Vanasupa located?

Billy Vanasupa practices at 240 Southpark Cir E, Saint Augustine, FL 32086. The listed phone number is (904) 824-1450.

What is Billy Vanasupa's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Billy Vanasupa enrolled in Medicare?

Yes. Billy Vanasupa 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 Billy Vanasupa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Billy Vanasupa reassigns Medicare benefits to 2 organizations: Advanced Urology Institute, LLC (Oxford, FL) and Capital Medical Center Specialty Physicians, LLC (Olympia, WA). 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 Billy Vanasupa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Billy Vanasupa accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Billy Vanasupa 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 Billy Vanasupa affiliated with any hospitals?

According to CMS data, Billy Vanasupa is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Hca Florida Putnam Hospital and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Billy Vanasupa was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.