DR. JAMON R PRUITT (M.D.) – Interventional Cardiology Physician, NPI 1174567812

DR. JAMON R PRUITT (M.D.) is a healthcare provider. based in Bentonville, Arkansas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. C8298 (AR). The NPI Number for DR. JAMON R PRUITT (M.D.) is 1174567812

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMON R PRUITT (M.D.)
NPI
1174567812
Phone
(479) 553-2200
Address
2900 MEDICAL CENTER PKWY
Enumeration Date
15 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8707014090
Graduation Year
1992 (34 years ago)
PAC ID
9739164872
Group Practice PAC ID
3476945528
Professional Enrollment ID
I20040622001173
Address ID
AR726538102MO15XXXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

260 CARDIOVASCULAR DISEASE (CARDIOLOGY) in AR

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Provider Addresses for DR. JAMON R PRUITT (M.D.)

  • 2900, Southeast Medical Center Parkway, Bentonville, Benton County, Arkansas, 72712, United States

    SUITE 240B

    BENTONVILLE, AR 727123204

    Phone: (479) 553-2200

    Fax: (479) 553-2909

    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 47 Open Payments records for all available years, with a total value of $1,064.

Total Amount is formed as General ($1,064) + Research ($0) + Ownership ($0) = $1,064.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CORDIS US CORP. ($135).

Total Amount

$1,064

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-06-22

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
I20040622001173ICardiovascular Disease (Cardiology)ARTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only836653$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function355347$0
99214Established patient office or other outpatient visit, 30-39 minutes160127$0
99213Established patient office or other outpatient visit, 20-29 minutes159143$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14082$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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Provider's Procedures

DR. JAMON R PRUITT (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)AR85610Blood test, clotting time14926
CARDIOVASCULAR DISEASE (CARDIOLOGY)AR93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report1917

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: 3476945528View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Nuclear Medicine, Peripheral Vascular DiseaseAR
Cardiovascular Disease (Cardiology), Internal MedicineAR
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)AR
Nurse PractitionerAR
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseAR
Nurse PractitionerAR
Cardiovascular Disease (Cardiology)NY
Internal Medicine, Cardiovascular Disease (Cardiology)AR
U R O L O G YAR

Reviews

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Frequently asked questions

Does DR. JAMON R PRUITT (M.D.) have a public NPI I can cite?
Public records show DR. JAMON R PRUITT (M.D.) under NPI 1174567812.
Quick check: is DR. JAMON R PRUITT (M.D.) active?
Public NPPES data shows DR. JAMON R PRUITT (M.D.) with an active NPI status right now.
Which specialty label fits DR. JAMON R PRUITT (M.D.)?
NPPES ties DR. JAMON R PRUITT (M.D.) to Interventional Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JAMON R PRUITT (M.D.) tied to Bentonville, Arkansas?
If you are local to Bentonville, Arkansas, DR. JAMON R PRUITT (M.D.) may be relevant to your search.
Who maintains DR. JAMON R PRUITT (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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