DR. JAMES S. COUNCE (MD) – Specialist, NPI 1104805498
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 CARDIAC SURGERY in AR
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Provider Addresses for DR. JAMES S. COUNCE (MD)
PO BOX 550
LOWELL, AR 727450550
Phone: (479) 463-7775
Fax: (479) 463-7187
Type: Mailing
North Northhills Boulevard, North Hills Medical Park, Fayetteville, Washington County, Arkansas, 72703, United States
FAYETTEVILLE, AR 72703
Phone: (479) 587-1114
Fax: (479) 587-1119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $2,126.
Total Amount is formed as General ($2,126) + Research ($0) + Ownership ($0) = $2,126.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Davol Inc. ($424).
Total Amount
$2,126
General + Research + Ownership
Payments
58
Total payment records
General Amount
$2,126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $424 |
| ATRICURE, INC. | $206 |
| Abbott Laboratories | $206 |
| Intuitive Surgical, Inc. | $174 |
| Medtronic, Inc. | $168 |
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: 2005-11-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051123000347 | I | Cardiac Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 50 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 45 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 25 | $0 |
Insurance plans in this area (ZIP 72745)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC SURGERY | AR | 31622 | Diagnostic examination of lung airways using an endoscope | 16 | 16 |
| CARDIAC SURGERY | AR | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 18 | 18 |
| CARDIAC SURGERY | AR | 33533 | Heart artery bypass to repair one artery | 44 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| - | AR | |
| Family Practice | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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