DR. JIM MARK INGRAM (M.D.) – Allergy & Immunology Physician, NPI 1093707176
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
39 ALLERGY/IMMUNOLOGY in AR
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Provider Addresses for DR. JIM MARK INGRAM (M.D.)
18, Corporate Hill Drive, Little Rock, Pulaski County, Arkansas, 72205, United States
SUITE 110
LITTLE ROCK, AR 722054565
Phone: (501) 224-1156
Fax: (501) 801-5561
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 173 Open Payments records for all available years, with a total value of $3,395.
Total Amount is formed as General ($3,395) + Research ($0) + Ownership ($0) = $3,395.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($723).
Total Amount
$3,395
General + Research + Ownership
Payments
173
Total payment records
General Amount
$3,395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $723 |
| AstraZeneca Pharmaceuticals LP | $688 |
| GENZYME CORPORATION | $511 |
| Regeneron Healthcare Solutions, Inc. | $343 |
| CSL Behring | $275 |
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: 2010-05-20
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 |
|---|---|---|---|---|
| I20100520000214 | I | Allergy/Immunology | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 4,455 | 75 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 3,015 | 263 | $0 |
| 95115 | Professional service for single injection of allergen | 1,671 | 301 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 448 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | 278 | $0 |
Insurance plans in this area (ZIP 72205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | AR | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 37 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | AR | |
| Nurse Practitioner | AR | |
| A L L E R G Y/ I M M U N O L O G Y | IA | |
| - | AR | |
| A L L E R G Y/ I M M U N O L O G Y | AR | |
| - | AR | |
| A L L E R G Y/ I M M U N O L O G Y | LA | |
| Allergy/Immunology, Pediatric Medicine | AR |
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