DAMIAN ALLEN (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1104358159

DAMIAN ALLEN (M.D.) is a healthcare provider. based in Jonesboro, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. The NPI Number for DAMIAN ALLEN (M.D.) is 1104358159

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DAMIAN ALLEN (M.D.)
NPI
1104358159
Phone
(870) 972-0063
Address
311 E MATTHEWS AVE
Enumeration Date
29 March 2017
Last Update Date
29 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
87089260006200
Graduation Year
2016 (10 years ago)
PAC ID
2062782808
Group Practice PAC ID
1456540194
Professional Enrollment ID
I20190102001529
Address ID
AR724559436PO2801XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DAMIAN ALLEN (M.D.)

  • 311, East Matthews Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724013125

    Phone: (870) 972-0063

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

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: 2019-01-02

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
I20190102001529IFamily PracticeARTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes872321$0
99239Hospital discharge day management, more than 30 minutes209204$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes17895$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6765$0
99238Hospital discharge day management, 30 minutes or less4444$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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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: 1456540194View full group profile
NameSpecialtyState
Internal MedicinePR
Internal MedicineFL
Internal MedicineNY
Emergency MedicineAR
Internal MedicineAR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Family PracticeAR
Internal MedicineAR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

Can I verify DAMIAN ALLEN (M.D.) with an NPI only?
You can start verification with NPI 1104358159 for DAMIAN ALLEN (M.D.), then check state licensing separately.
Does the file indicate DAMIAN ALLEN (M.D.) is practicing under active NPI?
Directory data currently reports DAMIAN ALLEN (M.D.) as active.
What taxonomy line describes DAMIAN ALLEN (M.D.)?
For research purposes, treat DAMIAN ALLEN (M.D.) as Student in an Organized Health Care Education/Training Program in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DAMIAN ALLEN (M.D.) on a map?
Expect Jonesboro, Arkansas as a primary anchor for DAMIAN ALLEN (M.D.) unless the record lists multiple sites.
Why does DAMIAN ALLEN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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