MR. PHILIP ALLEN CHILDERS (PA) – Physician Assistant, NPI 1205347390
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for MR. PHILIP ALLEN CHILDERS (PA)
1300 CENTERVIEW DR
LITTLE ROCK, AR 722114349
Phone: (501) 219-8900
Fax: (501) 410-1145
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 50 Open Payments records for all available years, with a total value of $1,530.
Total Amount is formed as General ($1,530) + Research ($0) + Ownership ($0) = $1,530.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teleflex LLC ($514).
Total Amount
$1,530
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,530
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 |
|---|---|
| Teleflex LLC | $514 |
| Janssen Biotech, Inc. | $250 |
| Astellas Pharma US Inc | $223 |
| Tolmar, Inc. | $141 |
| Axonics, Inc. | $89 |
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: 2017-12-20
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 |
|---|---|---|---|---|
| I20171220000806 | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 17,160 | 42 | $0 |
| J9155 | Injection, degarelix, 1 mg | 10,720 | 27 | $0 |
| 81003 | Automated urinalysis test | 2,043 | 1,063 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,795 | 985 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 617 | 451 | $0 |
Insurance plans in this area (ZIP 72211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AR | |
| - | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| U R O L O G Y | LA | |
| Nurse Practitioner | AR | |
| Physician Assistant | AR | |
| U R O L O G Y | AR | |
| Nurse Practitioner | LA |
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