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KONGSAK CHANTORNSAENG M.D.
NPI 1942250659
Family Medicine in Panama City, FL

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
4126 INDEPENDENT DRIVE, PANAMA CITY, FL 32448(850) 394-4907 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Apr 9, 2026, Jun 15, 2023 and 3 more (6 updates tracked since 2018).

About Kongsak Chantornsaeng M.d. NPPES

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

KONGSAK CHANTORNSAENG M.D. (NPI 1942250659) is an individual family medicine provider in Panama City, Florida, licensed in Florida (ME86600) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Florida Community Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1942250659
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKONGSAK CHANTORNSAENGCredential: M.D.
Location Address4126 INDEPENDENT DRIVEPanama City, FL 32448-7993
Mailing Address403 E 11th StPanama City, FL 32401-3409 · (185) 074-7559 · Fax (850) 279-6771
Phone(850) 394-4907
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 11, 2006
Last NPPES UpdateJune 1, 20266 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1942250659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME86600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME86600 (FL)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License ME86600 (FL)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License ME86600 (FL)
4126 INDEPENDENT DRIVE, Panama City, FL 32448
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Kongsak Chantornsaeng 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 ID9537051784
PECOS Enrollment IDI20040325000266
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

6

Medicare enrollment records show Kongsak Chantornsaeng reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Department Of Health
4.9 mi
Public Health or Welfare
4979 HEALTHY WAY
Marianna, FL 32446
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1487724969 (850) 526-2412
Northwest Florida Healthcare, Inc
17 mi
Critical Access
1360 BRICKYARD RD
Chipley, FL 32428
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1336163708 (850) 638-1610
Florida Department Of Children And Families
25 mi
Psychiatric Hospital
100 N MAIN ST
Chattahoochee, FL 32324
  • Reassigned Medicare billing, Florida enrollment
  • 89 clinicians in this Medicare group
NPI 1578895470 (850) 663-7802
Holmes County Hospital Corp
26 mi
Rural Health
2910 HOSPITAL DR STE A
Bonifay, FL 32425
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1952917015 (850) 547-8158
Pancare Of Florida, Inc
47 mi
Federally Qualified Health Center (FQHC)
2235 E 15TH ST
Panama City, FL 32405
  • Reassigned Medicare billing, Florida enrollment
  • 51 clinicians in this Medicare group
NPI 1366456287 (850) 747-5272
Emerald Waters Medical Clinic LLC
76 mi
Nurse Practitioner
1005 COLLEGE BLVD W, SUITE B
Niceville, FL 32578
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1306192216 (850) 279-6815

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 2

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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101308
Location1360 Brickyard RdChipley, FL 32428 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32448 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Kongsak Chantornsaeng's NPI number?

The NPI number for Kongsak Chantornsaeng is 1942250659. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Kongsak Chantornsaeng located?

Kongsak Chantornsaeng practices at 4126 Independent Drive, Panama City, FL 32448. The listed phone number is (850) 394-4907.

What is Kongsak Chantornsaeng's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kongsak Chantornsaeng enrolled in Medicare?

Yes. Kongsak Chantornsaeng 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 Kongsak Chantornsaeng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kongsak Chantornsaeng reassigns Medicare benefits to 6 organizations: Florida Department Of Health (Marianna, FL), Northwest Florida Healthcare, Inc (Chipley, FL), Florida Department Of Children And Families (Chattahoochee, FL), Holmes County Hospital Corp (Bonifay, FL), Pancare Of Florida, Inc (Panama City, FL) and 1 more organization, listed in the Medicare section above. 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 Kongsak Chantornsaeng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kongsak Chantornsaeng accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Kongsak Chantornsaeng 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 Kongsak Chantornsaeng affiliated with any hospitals?

According to CMS data, Kongsak Chantornsaeng is affiliated with Northwest Florida Community Hospital.

When was this NPI record last updated?

The NPPES record for Kongsak Chantornsaeng was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.