DR. JOHN GREGORY ELDERS (MD) – Family Medicine Physician, NPI 1174520688

DR. JOHN GREGORY ELDERS (MD) is a healthcare provider. based in Mountain home, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. C7687 (AR). The NPI Number for DR. JOHN GREGORY ELDERS (MD) is 1174520688

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN GREGORY ELDERS (MD)
NPI
1174520688
Phone
(870) 425-6971
Address
630 BURNETT DR
Enumeration Date
30 June 2005
Last Update Date
27 April 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8704256971
Graduation Year
1989 (37 years ago)
PAC ID
1658344148
Group Practice PAC ID
5092758987
Professional Enrollment ID
I20040813000431
Address ID
AR726532941MO630XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DR. JOHN GREGORY ELDERS (MD)

  • 630, Burnett Drive, Mountain Home, Baxter County, Arkansas, 72653, United States

    MOUNTAIN HOME, AR 726532941

    Phone: (870) 425-6971

    Fax: (870) 508-8900

    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 36 Open Payments records for all available years, with a total value of $636.

Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($88).

Total Amount

$636

General + Research + Ownership

Payments

36

Total payment records

General Amount

$636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2004-08-13

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
I20040813000431IFamily 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 minutes1,488259$0
99214Established patient office or other outpatient visit, 30-39 minutes1,105498$0
36415Insertion of needle into vein for collection of blood sample671313$0
80048Blood test, basic group of blood chemicals (calcium, total)324224$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count303220$0
View full utilization report →

Insurance plans in this area (ZIP 72653)

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Provider's Procedures

DR. JOHN GREGORY ELDERS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR83036Hemoglobin A1C level15382
FAMILY MEDICINEAR90670Pneumococcal vaccine for injection into muscle4545

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: 5092758987View full group profile
NameSpecialtyState
Family PracticeAR
-AR
Family Practice, Emergency MedicineAR
Family PracticeAR
-AR
Family PracticeAR
-AR
Obstetrics/Gynecology, Family PracticeAR
Family PracticeAR
Family PracticeMO

Reviews

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Frequently asked questions

What NPI should I save for DR. JOHN GREGORY ELDERS (MD)?
Save NPI 1174520688 if you need a stable reference for DR. JOHN GREGORY ELDERS (MD).
Is DR. JOHN GREGORY ELDERS (MD) active in the national directory?
DR. JOHN GREGORY ELDERS (MD)'s public NPI profile is in an active state.
Can you summarize DR. JOHN GREGORY ELDERS (MD)'s specialty in plain language?
Clinically, the directory lists DR. JOHN GREGORY ELDERS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN GREGORY ELDERS (MD)?
We surface Mountain Home, Arkansas for DR. JOHN GREGORY ELDERS (MD) based on available NPPES addresses.
Is DR. JOHN GREGORY ELDERS (MD) a real provider?
This page reflects official NPPES data for NPI 1174520688. Always confirm identity and privileges with the practice and licensing boards.

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