Active NPI 1619222874 Individual Practitioner Female Practitioner

Souksavanh Lisa Phanthavong , PA-C

Physician Assistant • Flower Mound, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Souksavanh Phanthavong, PA-C is a certified Physician Assistant practicing in Flower Mound, TX. With approximately 14 years of clinical experience since completing medical education in 2012, Souksavanh Phanthavong delivers high-quality medical care to the local community at 4001 LONG PRAIRIE RD STE 125.

Souksavanh Phanthavong is affiliated with Topcare Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4001 Long Prairie Rd Ste 125

Flower Mound, TX 750281532

Telephone 9725393030

Fax 9725393037

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flower Mound, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -0.9 yrs vs City Avg

City Avg: 14.9 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

43 Specialists

Practicing in Flower Mound, TX (11140 Statewide)

Telehealth Adoption Rate

34.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phanthavong (14 Years) 14 Yrs

Flower Mound Specialty Average (14.9 Years) 14.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$218.00	$61.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	91	$218.00	$59.86
J0696 Injection, ceftriaxone sodium, per 250 mg	85	21	$2.83	$0.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	47	$73.00	$16.71
81003 Automated urinalysis test	33	27	$10.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$323.00	$88.50
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	29	25	$12.91	$6.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$325.00	$88.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	82	$204.69	$59.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg	92	11	$1.97	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	59	15	$12.76	$0.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	37	$65.94	$20.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$255.58	$87.90
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	16	15	$14.38	$5.69
G0008 Administration of influenza virus vaccine	13	13	$60.77	$23.91
90662 Influenza vaccine split virus, preservative free	11	11	$90.00	$48.05

Medical Specialties & State Licenses

CMS Verified: 2025-08-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA07876

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Topcare Medical Group Inc

229 Ne 28th St, Fort Worth, TX 761647205

Phone: 8175660483

Topcare Medical Group Inc

941 E Park Row Dr, Arlington, TX 760104508

Phone: 8175220221

Secondary Practice Locations

941 E Park Row Dr

Arlington, TX 760104508

Phone: 8175220221

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Cynthia Grady , PA

Physician Assistant

NPI 1285653055

Physician Assistant

Dr. Que Thu Pravong , DO

Family Medicine

NPI 1538234349

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Atchley , MD

Family Medicine

NPI 1740214139

Doctor of Medicine (M.D.)

Scott Martz , PA-C

Physician Assistant

NPI 1861485294

Physician Assistant (Certified)

Dr. Jack Wright , MD

Family Medicine

NPI 1952329930

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active January 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2017

Registered at 4001 LONG PRAIRIE RD STE 125, FLOWER MOUND, TX 750281532 (Tel: 9725393030)

📍

Updated Business Mailing Address January 11, 2017

Registered at 4001 LONG PRAIRIE RD STE 125, FLOWER MOUND, TX 750281532 (Tel: 9725393030)

👤

Provider Name / Credentials Updated January 11, 2017

Recorded as SOUKSAVANH PHANTHAVONG, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2017

Physician Assistant (License #PA07876 in TX)

✅

NPI Profile Active October 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2016

Registered at 5900 W. PLEASANT RIDGE RD, MINUTE CLINIC (INSIDE CVS), ARLINGTON, TX 76016 (Tel: 8174786041)

📍

Updated Business Mailing Address October 13, 2016

Registered at 5900 W. PLEASANT RIDGE RD, MINUTE CLINIC (INSIDE CVS), ARLINGTON, TX 76016 (Tel: 8174786041)

👤

Provider Name / Credentials Updated October 13, 2016

Recorded as SOUKSAVANH PHANTHAVONG, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2016

Physician Assistant (License #PA07876 in TX)

🟢

Initial NPI Registration & Enumeration July 13, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619222874

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2012

Last Update: August 12, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4001 Long Prairie Rd Ste 125

Flower Mound, TX 750281532

Phone: 9725393030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.