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MR. DITTANA PHONCHAROENSRI M.D.
NPI 1750585170
Psychiatry & Neurology - Sleep Medicine in Bermuda Run, NC

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
152 E KINDERTON WAY STE 101, BERMUDA RUN, NC 27006(336) 893-3180(336) 893-3189 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2020, Jul 17, 2018 (2 updates tracked since 2018).

About Mr. Dittana Phoncharoensri M.d. NPPES

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

MR. DITTANA PHONCHAROENSRI M.D. (NPI 1750585170) is an individual sleep medicine provider in Bermuda Run, North Carolina, licensed in North Carolina (201300784) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in High Point.

NPPES Registry Identity

NPI1750585170
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameMR. DITTANA PHONCHAROENSRICredential: M.D.
Location Address152 E KINDERTON WAY STE 101Bermuda Run, NC 27006-7351
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 893-3180 · Fax (336) 893-3189
Phone(336) 893-3180
Fax(336) 893-3189
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 11, 2007
Last NPPES UpdateOctober 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1750585170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License✔ Licensed in NC · 201300784
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
152 E KINDERTON WAY STE 101, Bermuda Run, NC 27006
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Secondary Practice Location 1

Location 1606 N Elm StHigh Point, NC 27262-4332 · Phone (336) 889-8877 · Fax (336) 889-5250

Other Identifiers 1

Medicaid1750585170NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Dittana Phoncharoensri 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 ID1658411509
PECOS Enrollment IDI20130719000434
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.

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.
254 services173 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.
98 services84 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.
55 services55 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.
41 services37 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
34 services34 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340148
Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27006 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers121 claims122 services$36.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers93 claims93 services$88.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers91 claims249 services$33.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers34 claims185 services$18.33 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers22 claims114 services$15.29 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers61 claims61 services$56.97 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 10

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

NOVANT MEDICAL GROUP, INC.
Internal Medicine (Sleep Medicine)
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (336) 893-3170
MRS. EMILY CHURCH SPENCER NP
Nurse Practitioner
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (336) 893-3210
NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Neurology)
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (704) 384-7680
KENT WILLIS COCHRAN
Anesthesiology (Pain Medicine)
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (336) 893-3210
TYLER ALEXANDER SOUTHERN PA
Physician Assistant
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (336) 893-3180
DR. WILLIAM O BELL M.D.
Neurological Surgery
152 E KINDERTON WAY STE 101
ADVANCE, NC 27006
Davie County (336) 893-3190
NOVANT HEALTH MEDICAL GROUP, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (336) 893-3210
JANIS ELIZABETH BUONO FNP-C
Nurse Practitioner
152 E KINDERTON WAY STE 101
BERMUDA RUN, NC 27006
Davie County (336) 893-3210

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 Dittana Phoncharoensri's NPI number?

The NPI number for Dittana Phoncharoensri is 1750585170. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Dittana Phoncharoensri located?

Dittana Phoncharoensri practices at 152 E Kinderton Way Ste 101, Bermuda Run, NC 27006. The listed phone number is (336) 893-3180.

What is Dittana Phoncharoensri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Dittana Phoncharoensri enrolled in Medicare?

Yes. Dittana Phoncharoensri 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.

What insurance does Dittana Phoncharoensri accept?

Health plans from Blue Cross and Blue Shield of NC list Dittana Phoncharoensri 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 Dittana Phoncharoensri affiliated with any hospitals?

According to CMS data, Dittana Phoncharoensri is affiliated with Novant Health Forsyth Medical Center and Novant Health Medical Park Hospital.

When was this NPI record last updated?

The NPPES record for Dittana Phoncharoensri was last updated on October 25, 2020. 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.