DR. RONALD J MULLIS (M.D.) – Surgery Physician, NPI 1093729246

DR. RONALD J MULLIS (M.D.) is a healthcare provider. based in Fayetteville, Arkansas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. C7126 (AR). The NPI Number for DR. RONALD J MULLIS (M.D.) is 1093729246

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD J MULLIS (M.D.)
NPI
1093729246
Phone
(479) 521-1484
Address
3017 N BOB YOUNKIN DR
Enumeration Date
27 July 2006
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4794042500
Graduation Year
1986 (40 years ago)
PAC ID
4385614056
Group Practice PAC ID
8820995434
Professional Enrollment ID
I20080918000660
Address ID
AR727033163FA3XXXXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in AR

Provider Addresses for DR. RONALD J MULLIS (M.D.)

  • 3017 N BOB YOUNKIN DR

    SUITE 101

    FAYETTEVILLE, AR 727033926

    Phone: (479) 521-1484

    Fax: (479) 521-1550

    Type: Mailing

  • 3 E APPLEBY RD STE 401

    FAYETTEVILLE, AR 727033163

    Phone: (479) 404-2500

    Fax: (479) 404-2501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $3,516.

Total Amount is formed as General ($3,516) + Research ($0) + Ownership ($0) = $3,516.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$3,516

General + Research + Ownership

Payments

22

Total payment records

General Amount

$3,516

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-09-18

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
I20080918000660IGeneral SurgeryARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8855$0
99213Established patient office or other outpatient visit, 20-29 minutes5738$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5336$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4829$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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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: 8820995434View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. RONALD J MULLIS (M.D.)?
For DR. RONALD J MULLIS (M.D.), use NPI 1093729246 as the unique 10-digit identifier.
Is DR. RONALD J MULLIS (M.D.) shown as active in public data?
Registry records indicate DR. RONALD J MULLIS (M.D.) maintains an active NPI.
What clinical focus is listed for DR. RONALD J MULLIS (M.D.)?
At a glance, DR. RONALD J MULLIS (M.D.) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. RONALD J MULLIS (M.D.)?
Travel planning: use Fayetteville, Arkansas as the reference point for DR. RONALD J MULLIS (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. RONALD J MULLIS (M.D.) is noted as July 27, 2006 where the registry provides it.

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