POYSOPHON POYSOPHON
NPI 1902250194
Internal Medicine in Walnut Creek, CA

Q: What is Poysophon Poysophon's NPI number?

The NPI number for Poysophon Poysophon is 1902250194. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Poysophon Poysophon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment

1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2022, Sep 2, 2020, Aug 29, 2019 (3 updates tracked since 2019).

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About Poysophon Poysophon NPPES

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

POYSOPHON POYSOPHON (NPI 1902250194) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A150669) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902250194

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePOYSOPHON POYSOPHON

Location Address1425 S MAIN STWalnut Creek, CA 94596-5318

Mailing Address1425 S Main StWalnut Creek, CA 94596-5318

Phone(925) 295-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 14, 2016

Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration

NPPES CertifiedAugust 31, 2022

✔ NPI 1902250194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A150669

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1425 S MAIN ST, Walnut Creek, CA 94596

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Other Identifiers 1

MedicaidPP3232267556CA

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

Poysophon Poysophon 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 ID8729414123

PECOS Enrollment IDI20200203002148

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 94596 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier25 claims25 services$13.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier24 claims24 services$64.86 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 20

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

BROOK ANDREW WOOLLEY M.D.

Emergency Medicine

1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-5100

DR. THOMAS CRESANTE D.O.

Hospitalist

1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4643

SARA WON MD

Obstetrics & Gynecology