LORI BACON (M.D.) – Emergency Medicine Physician, NPI 1073612883

LORI BACON (M.D.) is a healthcare provider. based in Little rock, Arkansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. E2154 (AR). The NPI Number for LORI BACON (M.D.) is 1073612883

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LORI BACON (M.D.)
NPI
1073612883
Phone
(501) 812-7589
Address
11001 EXECUTIVE CENTER DR
Enumeration Date
21 September 2006
Last Update Date
19 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5012023000
Graduation Year
1997 (29 years ago)
PAC ID
8022143502
Group Practice PAC ID
2668377359
Professional Enrollment ID
I20100323000489
Address ID
AR721172922NO3333XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

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Provider Addresses for LORI BACON (M.D.)

  • 11001, Executive Center Drive, Little Rock, Pulaski County, Arkansas, 72211, United States

    STE. 200

    LITTLE ROCK, AR 722114316

    Phone: (501) 812-7589

    Type: Mailing

  • Springhill Drive, North Little Rock, Pulaski County, Arkansas, 72214, United States

    NORTH LITTLE ROCK, AR 721172922

    Phone: (501) 202-6800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Inari Medical, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

1

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$37
View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100323000489IEmergency MedicineARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making599568$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only214208$0
99284Emergency department visit with moderate level of medical decision making124124$0
99291Critical care, first 30-74 minutes1919$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 72211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668377359View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeAR
Emergency MedicineAR
Nurse PractitionerWV
Emergency MedicineLA
Nurse PractitionerAR
Emergency MedicineAR
Nurse PractitionerAR
Emergency MedicineAR
Emergency MedicineAR
Emergency MedicineOH

Reviews

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Frequently asked questions

What federal number belongs to LORI BACON (M.D.)?
The federal identifier for LORI BACON (M.D.) is NPI 1073612883.
Does this profile mean LORI BACON (M.D.) is currently active?
Yes — LORI BACON (M.D.) appears active in the national provider directory.
What kind of provider is LORI BACON (M.D.)?
The page reflects Emergency Medicine Physician for LORI BACON (M.D.). Clinical services aligned with this taxonomy classification.
Does LORI BACON (M.D.) practice in Arkansas?
You will see Little Rock, Arkansas on file for LORI BACON (M.D.) alongside any extra practice locations.
How can I contact LORI BACON (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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