MONTE DOUGLAS (PA-C) – Physician Assistant, NPI 1154736262
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
Provider Addresses for MONTE DOUGLAS (PA-C)
2 Saint Vincent Cir
Little Rock, AR 722055423
Phone: (501) 552-3000
Type: Location
PO BOX 497
AUGUSTA, AR 720060497
Phone: (870) 347-2534
Fax: (870) 347-3492
Type: Mailing
1400 BRADEN ST
JACKSONVILLE, AR 720763721
Phone: (501) 241-1676
Fax: (501) 241-1427
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $25,058.
Total Amount is formed as General ($25,058) + Research ($0) + Ownership ($0) = $25,058.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Organogenesis Inc. ($24,970).
Total Amount
$25,058
General + Research + Ownership
Payments
68
Total payment records
General Amount
$25,058
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 |
|---|---|
| Organogenesis Inc. | $24,970 |
| Smith+Nephew, Inc. | $36 |
| Kerecis Limited | $31 |
| Hydrofera LLC | $21 |
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: 2015-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150406000149 | I | Physician Assistant | 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 | 370 | 90 | $0 |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 97 | 28 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 75 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 12 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | WY | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Family Practice | AR | |
| Emergency Medicine | AR | |
| Family Practice | AR | |
| - | AR | |
| - | AR |
Reviews
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