AGUSTIN FERNANDEZ (MD) – Specialist, NPI 1124069752
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AGUSTIN FERNANDEZ (MD)
Springhill Drive, Fairman, North Little Rock, Pulaski County, Arkansas, 72117, United States
STE 400
NORTH LITTLE ROCK, AR 721172924
Phone: (501) 945-3343
Fax: (501) 945-0770
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-14
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 |
|---|---|---|---|---|
| I20100914001080 | I | Gastroenterology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | AR | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 56 | 53 |
| GASTROENTEROLOGY | AR | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 212 | 186 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | AR | |
| - | AR | |
| G A S T R O E N T E R O L O G Y | AR | |
| G A S T R O E N T E R O L O G Y | AR | |
| - | AR | |
| G A S T R O E N T E R O L O G Y | AR | |
| Nurse Practitioner | AR | |
| G A S T R O E N T E R O L O G Y | AR |
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