Unknown Individual – Emergency Medicine Physician, NPI 1063486413
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2201 HORIZAN RD
STE 4
WEST MEMPHIS, AR 723012926
Phone: (870) 732-1224
Fax: (870) 732-1533
Type: Mailing
318, South Rhodes Street, Eugene Woods, West Memphis, Crittenden County, Arkansas, 72301, United States
WEST MEMPHIS, AR 723014215
Phone: (870) 732-1224
Fax: (870) 732-1533
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 19 | 19 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 16 | 11 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 13 | 13 | $0 |
Insurance plans in this area (ZIP 72301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | AR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 76 | 67 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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