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Thanapoom Boonipat

Plastic Surgery β€’ Fort Worth, TX

Active NPI 1154852705 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1500 S Main St
Fort Worth, TX 761044917

Call 8177021100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 S Main St

Fort Worth, TX 761044917

Telephone 8177021100
Organization at the Same NPPES Address or Phone
Jps Physician Group Inc Facility NPI 1184619082

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Lubbock, TX; San Antonio, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

30-day fills

11 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$17 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Open Payments general payments, program year 2025

All general payments: $136.58 across 2 records.

By nature of payment

  • Food and Beverage: $136.58 across 2 records.

Reporting-company totals

  • Aimmune Therapeutics, Inc.: $120.18 across 1 record.
  • ABBVIE INC.: $16.40 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Thanapoom Boonipat has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Thanapoom Boonipat as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Worth and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Thanapoom Boonipat are from 2023.

15 active clinicians are listed under Plastic Surgery with a practice address in Fort Worth, TX (374 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Worth

0% of these 15 clinicians have the CMS telehealth indicator.

66.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $136.58.

Manufacturer Payment Nature Product Type Amount ($)
Aimmune Therapeutics, Inc.
Food and Beverage
In-kind items and services
ZENPEP General $120.18
ABBVIE INC.
Food and Beverage
In-kind items and services
β€” General $16.40

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 11 22 $16.55 β€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-20
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

License # reported to NPPES TX U9214

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

License # reported to NPPES MN 28451

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

License # reported to NPPES MN 64276

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY

Medicare Enrollment ID

I20240515000122

Enrollment State Jurisdiction

TX

PECOS Control ID

8426320151

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

525 Oak Centre Dr Ste 260

San Antonio, TX 782583945

Phone: 6037316888

12505 Quaker Ave Ste A

Lubbock, TX 794247743

Phone: 6037316888

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. William Adams , MD

Student in an Organized Health Care Education/Training Program

NPI 1114612959

Doctor of Medicine (M.D.)

Dr. Ghazanfar Ali , MD

Family Medicine

NPI 1063852655

Doctor of Medicine (M.D.)

Dr. Chau Andersen , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1114654068

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Tiyonnoh Cash , MD

Psychiatry & Neurology - Neurology

NPI 1114053550

Doctor of Medicine (M.D.)

Dr. Drew Farmer , MD

Surgery - Surgical Critical Care

NPI 1124448972

Doctor of Medicine (M.D.)

Dr. Joshua Gregory , MD

Student in an Organized Health Care Education/Training Program

NPI 1144925819

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

22 Historical Events
πŸ“
Updated Practice Location December 20, 2024

Registered at 1500 S MAIN ST, FORT WORTH, TX 761044917 (Tel: 8177021100)

πŸ“
Updated Business Mailing Address December 20, 2024

Registered at PO BOX 732973, DALLAS, TX 753732973

πŸ“
Updated Practice Location August 16, 2024

Registered at 525 OAK CENTRE DR STE 260, SAN ANTONIO, TX 782583945 (Tel: 6037316888)

πŸ“
Updated Business Mailing Address August 16, 2024

Registered at 115 N VICKSBURG AVE, LUBBOCK, TX 794163020 (Tel: 6037316888)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2024

Plastic Surgery (license number reported to NPPES: MN 28451)

πŸ“
Updated Practice Location April 18, 2024

Registered at 3813 22ND ST STE E, LUBBOCK, TX 794101156 (Tel: 6037316888)

πŸ“
Updated Business Mailing Address April 18, 2024

Registered at 3813 22ND ST STE E, LUBBOCK, TX 794101156 (Tel: 6037316888)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2024

Plastic Surgery (license number reported to NPPES: MN 64276)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2024

Plastic Surgery (license number reported to NPPES: MN 28451)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2020

Plastic Surgery (license number reported to NPPES: MN 64276)

πŸ“
Updated Practice Location July 23, 2018

Registered at 200 1ST ST SW, ROCHESTER, MN 55905 (Tel: 5072842511)

βœ…
NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 06, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

πŸ“
Updated Business Mailing Address November 06, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

πŸ‘€
Provider Name / Credentials Updated November 06, 2017

Recorded as THANAPOOM BOONIPAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Plastic Surgery (license number reported to NPPES: MN 28451)

βœ…
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

πŸ“
Business Mailing Address (Initial Record) March 24, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2017

Recorded as THANAPOOM BOONIPAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154852705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2017
Last Update: December 20, 2024
Sole Proprietor: No

Other Plastic Surgery Specialists in Fort Worth

All Plastic Surgery Specialists in Fort Worth

Mailing Address

Po Box 732973

Dallas, TX 753732973

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.