Promporn Suwanabol
NPI 1710395058 · Medical Physician Assistant · Watertown, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Promporn Suwanabol is a Medical Physician Assistant provider in Watertown, WI (NPI 1710395058).
Provider details
- NPI number
- 1710395058
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3398-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
754 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 208 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 207 | $100 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 132 | $109 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 117 | $71 |
| Blood Test, Clotting Time85610 | 69 | $4 |
| Automated Urinalysis Test81003 | 21 | $2 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 87 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 453 | 121 |
| Levothyroxine Sodium | 282 | 56 |
| Lisinopril | 221 | 57 |
| Amlodipine Besylate | 187 | 53 |
| Omeprazole | 173 | 46 |
| Simvastatin | 151 | 40 |
| Losartan Potassium | 135 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-30
- Last updated
- 2014-12-16
Frequently asked questions
- What is Promporn Suwanabol's NPI number?
- Promporn Suwanabol's National Provider Identifier (NPI) is 1710395058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Promporn Suwanabol's specialty?
- Promporn Suwanabol is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Promporn Suwanabol located?
- Promporn Suwanabol's practice location on file with NPPES is 123 Hospital Dr, Watertown, WI 53098-3331.
- What is Promporn Suwanabol's phone number?
- The practice phone number listed in the NPPES registry for Promporn Suwanabol is (920) 262-9833.
- Does Promporn Suwanabol accept Medicare?
- Promporn Suwanabol is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Promporn Suwanabol's NPI active?
- Yes — Promporn Suwanabol's NPI (1710395058) is active in the NPPES registry as of the last update on 2014-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.