Dr. Theerapol Prasertsuntarasai
- Gender: Male
- Experience: 21 years
- Graduation year: 2000
- Sole propriator: No
- NPI: 1245373380
Dr. Theerapol Prasertsuntarasai MD
Rheumatologist
He is located at 5609 114th Street in Lubbock, TX 79424. Can help patients with the following: Anemia, Headache, High Blood Pressure, Influenza, Inguinal Hernia, Reactive Arthritis. His National Provider Identifier (NPI) number is 1245373380. Appointment can be made via the phone number (806) 589-1778. He is affiliated with 3 practices.
Conditions treated
Dr. Theerapol Prasertsuntarasai, being an rheumatologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Theerapol Prasertsuntarasai.
- Abdominal Pain
- Acute Pain
- Amyloidosis
- Anemia
- Ankylosing Spondylitis
- Antiphospholipid Syndrome (APS)
- Arthritis
- Asthma
- Atherosclerosis
- Bladder Control
- Bone Loss
- Bursitis
- Chest Pain
- Cholecystitis
- Chronic Fatigue Syndrome (CFS)
- Chronic Obstructive Pulmonary Disease (COPD)
- Claudication
- Collagen Vascular Disease (CVD)
- Common Cold
- Constipation
- Cystitis
- Diarrhea
- Edema
- Erythema Nodosum
- Fever
- Fibromyalgia
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Gout
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hypermobility Syndrome
- Hyponatremia
- Influenza
- Inguinal Hernia
- Low Back Pain
- Lupus
- Migraine
- Muscle Pain
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Patellofemoral Pain Syndrome (PFS)
- Peptic Ulcer
- Polymyalgia Rheumatica (PMR)
- Polymyositis (PM)
- Porphyria
- Prescription Refill
- Psoriatic Arthritis
- Raynaud's Phenomenon
- Reactive Arthritis
- Rheumatoid Arthritis (RA)
- Sacroiliac Joint Pain
- Sarcoidosis
- Scleroderma
- Sjogren's Syndrome
- Spondylolysis
- Tendinitis
- Urethritis
- Urinary Tract Infection (UTI)
- Vasculitis
- Weber-Christian Disease
Procedures Performed by Dr. Theerapol Prasertsuntarasai
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Theerapol Prasertsuntarasai as in-network for the following 2026 plans.
Health plans
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 19 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
WellPoint
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 21 plans from WellPoint
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellpoint Essential Bronze 4000 HSA (+ Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients at some locations |
| Wellpoint Essential Catastrophic (+ Incentives) | HMO · Catastrophic | Participating | Accepting new patients at some locations |
| Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients at some locations |
| Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients at some locations |
| Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients at some locations |
| Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients at some locations |
| Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients at some locations |
| Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients at some locations |
| Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients at some locations |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Theerapol Prasertsuntarasai is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Theerapol Prasertsuntarasai is enrolled to bill Medicare as a Practitioner - Rheumatology (also registered under: Practitioner - Allergy/immunology) .
Bills through: Theerapol Prasertsuntarasai Md Pa
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Janssen | $274 |
| AbbVie | $270 |
| Novartis | $257 |
Other
| Food and Beverage | $2330 |
Studies
Graduated in 2000Additional Specialities
- Internist
Affiliated practices
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Questions & Answers
Does Dr. Theerapol Prasertsuntarasai have affiliation with practices?
Dr. Theerapol Prasertsuntarasai is affiliated with Providence Health & Services - Oregon. For the full list of practices see this list.
Where can you meet with Dr. Theerapol Prasertsuntarasai?
Dr. Theerapol Prasertsuntarasai's office is located at 5609 114th Street in Lubbock, TX 79424.
Does Dr. Theerapol Prasertsuntarasai accept patients with Blue Cross and Blue Shield of Texas?
Yes, Dr. Theerapol Prasertsuntarasai is listed in-network for Blue Cross and Blue Shield of Texas through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
What conditions does Dr. Theerapol Prasertsuntarasai treat?
Dr. Theerapol Prasertsuntarasai provides treatment for Anemia, Headache, High Blood Pressure, Influenza, Inguinal Hernia, Reactive Arthritis. For the full list see this list.