PHOUDONG KEOVILAY PA-C
NPI 1790330850
Physician Assistant in Apple Valley, CA

Active since August 06, 2019PECOS Enrolled
94.62/100
CMS Quality Rating
18300 CA-18 1ST FLOOR, APPLE VALLEY, CA 92307(760) 242-2311 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2022, Aug 6, 2019 (2 updates tracked since 2019).

About Phoudong Keovilay Pa-c NPPES

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

PHOUDONG KEOVILAY PA-C (NPI 1790330850) is an individual physician assistant in Apple Valley, California and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790330850
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHOUDONG KEOVILAYCredential: PA-C
Location Address18300 CA-18 1ST FLOORApple Valley, CA 92307
Mailing Address3947 Rancho Reina CtRiverside, CA 92505-3572 · (559) 430-5280
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1790330850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

18300 CA-18 1ST FLOOR, Apple Valley, CA 92307

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phoudong Keovilay Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
154 services151 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92307 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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 Phoudong Keovilay's NPI number?

The NPI number for Phoudong Keovilay is 1790330850. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Phoudong Keovilay located?

Phoudong Keovilay practices at 18300 Ca-18 1st Floor, Apple Valley, CA 92307. The listed phone number is (760) 242-2311.

What is Phoudong Keovilay's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phoudong Keovilay enrolled in Medicare?

Yes. Phoudong Keovilay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phoudong Keovilay was last updated on May 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.