DR. JIMMY DAVID ACKLIN (M.D.) – Family Medicine Physician, NPI 1356345052
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,499 FAMILY PRACTICE in AR
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Provider Addresses for DR. JIMMY DAVID ACKLIN (M.D.)
612, South 12th Street, Fort Smith, Sebastian County, Arkansas, 72901, United States
FORT SMITH, AR 729014702
Phone: (479) 785-2431
Fax: (479) 494-7787
Type: Mailing
1301 S E St
Fort Smith, AR 729014716
Phone: (479) 785-2431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2023-03-25 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($36).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $36 |
| ABBVIE INC. | $19 |
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: 2010-03-17
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 |
|---|---|---|---|---|
| I20100317000674 | I | Family Practice | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 90 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 61 | $0 |
| 83036 | Hemoglobin a1c level | 37 | 34 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 35 | 30 | $0 |
Insurance plans in this area (ZIP 72901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | AR | |
| - | AR | |
| Internal Medicine | NY | |
| Internal Medicine, Nephrology | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| - | AR | |
| - | AR |
Reviews
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