DR. ETHAN J SCHOCK (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1033197215
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
233 ORTHOPEDIC SURGERY in AR
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Provider Addresses for DR. ETHAN J SCHOCK (M.D.)
800, Fair Park Boulevard, Oak Forest, Little Rock, Pulaski County, Arkansas, 72204, United States
LITTLE ROCK, AR 722041720
Phone: (501) 404-8007
Fax: (501) 904-3620
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $149.
Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Stryker Corporation ($78).
Total Amount
$149
General + Research + Ownership
Payments
4
Total payment records
General Amount
$149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $78 |
| Midsouth Orthopedics Inc. | $71 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040126000460 | I | Orthopedic Surgery | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 379 | 139 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 278 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 246 | 184 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 212 | 212 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 191 | 157 | $0 |
Insurance plans in this area (ZIP 72204)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Interventional Pain Management | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Physical Medicine And Rehabilitation | AR | |
| Family Practice | AR | |
| N E U R O S U R G E R Y | AR | |
| Nurse Practitioner | AR |
Reviews
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