DR. JACEY TANNER GUTHRIE (M.D.) – Dermatology Physician, NPI 1174942528
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
107 DERMATOLOGY in AR
Provider Addresses for DR. JACEY TANNER GUTHRIE (M.D.)
4018 W Capital Ave
Little Rock, AR 72205
Phone: (501) 686-5960
Fax: (501) 296-1120
Type: Location
4200 N RODNEY PARHAM RD STE 202
LITTLE ROCK, AR 722122460
Phone: (501) 227-4323
Fax: (501) 227-4149
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,338.
Total Amount is formed as General ($1,338) + Research ($0) + Ownership ($0) = $1,338.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Incyte Corporation ($220).
Total Amount
$1,338
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $220 |
| ABBVIE INC. | $203 |
| Lilly USA, LLC | $159 |
| UCB, Inc. | $68 |
| Janssen Biotech, Inc. | $67 |
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: 2018-06-20
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 |
|---|---|---|---|---|
| I20180620002338 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,686 | 273 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 750 | 450 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 619 | 373 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 199 | 163 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 158 | 138 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| - | AR | |
| Pediatric Medicine, Internal Medicine | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Family Practice | AR | |
| - | AR |
Reviews
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