DR. RYAN PEYTON MADDOX (MD) – Family Medicine Physician, NPI 1104405422

DR. RYAN PEYTON MADDOX (MD) is a healthcare provider. based in Paragould, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-16646 (AR). The NPI Number for DR. RYAN PEYTON MADDOX (MD) is 1104405422

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN PEYTON MADDOX (MD)
NPI
1104405422
Phone
(870) 239-8503
Address
4000 LINWOOD DR STE A
Enumeration Date
5 April 2021
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5698179745
Group Practice PAC ID
7315844586
Professional Enrollment ID
I20240606001396
Address ID
AR724508894PA4000XAXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. RYAN PEYTON MADDOX (MD)

  • 4000 LINWOOD DR STE A

    PARAGOULD, AR 724507224

    Phone: (870) 239-8503

    Type: Mailing

  • 311 E MATTHEWS AVE

    JONESBORO, AR 724013125

    Phone: (870) 972-0063

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($33).

Total Amount

$127

General + Research + Ownership

Payments

8

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2024-06-06

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
I20240606001396IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72450)

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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: 7315844586View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerMO
Nurse PractitionerAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
-KY
Family PracticeAR
Family Practice, Emergency MedicineAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RYAN PEYTON MADDOX (MD)?
DR. RYAN PEYTON MADDOX (MD) — NPI 1104405422 — is the standard way to identify this listing.
Can I rely on DR. RYAN PEYTON MADDOX (MD) being an active provider?
As of the registry snapshot, DR. RYAN PEYTON MADDOX (MD) is marked active.
What taxonomy line describes DR. RYAN PEYTON MADDOX (MD)?
For research purposes, treat DR. RYAN PEYTON MADDOX (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RYAN PEYTON MADDOX (MD) on a map?
Expect Paragould, Arkansas as a primary anchor for DR. RYAN PEYTON MADDOX (MD) unless the record lists multiple sites.
Why does DR. RYAN PEYTON MADDOX (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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