Doctor profile · Federal record
Dr. Promporn Suwanabol
Medical Physician Assistant (CMS: Physician Assistant) · Watertown, WI
- NPI 1710395058
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
123 Hospital Dr, Suite 2009
Watertown, WI 530983331
(920) 262-9833
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- December 16, 2014
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Wisconsin #3398-23
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710395058. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
939
Distinct HCPCS
10
Medicare allowed
$63,023
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 209 | 128 | $96 | |
36415 |
Insertion of needle into vein for collection of blood sample | 194 | 125 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 137 | 137 | $104 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 125 | 93 | $68 | |
85610 |
Blood test, clotting time | 76 | 19 | $4 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 53 | 53 | $283 | |
G0009 |
Administration of pneumococcal vaccine | 53 | 53 | $29 | |
G0008 |
Administration of influenza virus vaccine | 29 | 29 | $29 | |
81003 |
Automated urinalysis test | 20 | 16 | $2 | |
90686 |
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 15 | 15 | $22 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 68. This provider delivers 14× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,204
Patients
603
Total drug cost
$29,608
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 425 | 113 | $5,513 |
| Levothyroxine Sodium | Generic | 283 | 59 | $4,104 |
| Lisinopril | Generic | 195 | 53 | $1,632 |
| Amlodipine Besylate | Generic | 162 | 52 | $1,272 |
| Simvastatin | Generic | 158 | 45 | $1,502 |
| Omeprazole | Generic | 142 | 39 | $2,572 |
| Furosemide | Generic | 108 | 31 | $867 |
| Hydrochlorothiazide | Generic | 108 | 35 | $533 |
| Metformin Hcl | Generic | 106 | 28 | $1,091 |
| Losartan Potassium | Generic | 95 | 30 | $1,479 |
Hospital affiliations
Frequently asked questions
What is Dr. Promporn Suwanabol's medical specialty?
Dr. Promporn Suwanabol practices Medical Physician Assistant in Watertown, WI.
Where does Dr. Promporn Suwanabol practice?
Dr. Promporn Suwanabol practices at 123 Hospital Dr, Watertown, WI 530983331. Office phone: 9202629833.
What is Dr. Promporn Suwanabol's NPI?
Dr. Promporn Suwanabol's National Provider Identifier (NPI) is 1710395058, issued by NPPES.
Does Dr. Promporn Suwanabol accept Medicare assignment?
Yes. Dr. Promporn Suwanabol accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Promporn Suwanabol commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.