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PANUPONG LISAWAT MD
NPI 1922254184
Internal Medicine - Nephrology in Danbury, CT

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
111 OSBORNE ST, SUITE 210, DANBURY, CT 06810(203) 739-7104 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Panupong Lisawat Md NPPES

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

PANUPONG LISAWAT MD (NPI 1922254184) is an individual nephrology provider in Danbury, Connecticut, licensed in Connecticut (051569) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Putnam Hospital Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1922254184
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePANUPONG LISAWATCredential: MD
Location Address111 OSBORNE ST, SUITE 210Danbury, CT 06810-6000
Mailing Address111 Osborne St, Suite 210Danbury, CT 06810-6000 · (203) 739-7104
Phone(203) 739-7104
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 7, 2008
Last NPPES UpdateDecember 4, 2013
✔ NPI 1922254184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CT · 051569
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 051569 (CT)
Also ListedHospitalistTaxonomy 208M00000X · License 051569 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 OSBORNE ST, Danbury, CT 06810
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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

Panupong Lisawat Md 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 ID7315185584
PECOS Enrollment IDI20130529000657
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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
627 services218 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.
469 services300 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.
420 services247 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
271 services61 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
184 services74 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
107 services42 patients

Hospital Affiliations CMS Care Compare

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

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,260 services$0.28 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims2,640 services$1.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$17.36 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$12.65 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.

DR. DANIEL KLEINER MD
Surgery (Surgical Oncology)
111 OSBORNE ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7131
HEATH WALDEN M.D.
Surgery (Surgical Critical Care)
111 OSBORNE ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7131
RAYMOND RAUT M.D.
Internal Medicine (Nephrology)
111 OSBORNE ST, SUITE 210
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7104
JEFFREY SCHMIERER M.D.
Internal Medicine (Cardiovascular Disease)
111 OSBORNE ST, 3RD FLOOR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7155
STEVEN L BRANDWEIN M.D.
Internal Medicine (Gastroenterology)
111 OSBORNE ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7038
DR. KRISHAN PATEL MD FACS
Surgery (Trauma Surgery)
111 OSBORNE ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7131
MRS. CHARLENE MICHELE DELUCA MS, RD, CDN
Dietitian, Registered
111 OSBORNE ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7119
MRS. MIKELANNE CHRISTINE PHANEUF R.D.
Dietitian, Registered
111 OSBORNE ST, MEDICAL ARTS CENTER, 2ND FLOOR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7131

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 Panupong Lisawat's NPI number?

The NPI number for Panupong Lisawat is 1922254184. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Panupong Lisawat located?

Panupong Lisawat practices at 111 Osborne St Suite 210, Danbury, CT 06810. The listed phone number is (203) 739-7104.

What is Panupong Lisawat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Panupong Lisawat enrolled in Medicare?

Yes. Panupong Lisawat 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.

Is Panupong Lisawat affiliated with any hospitals?

According to CMS data, Panupong Lisawat is affiliated with Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Panupong Lisawat was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.