BETHANY JO RUBY (DO) – Emergency Medicine Physician, NPI 1477086916

BETHANY JO RUBY (DO) is a healthcare provider. based in Little rock, Arkansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. E-12389 (AR). The NPI Number for BETHANY JO RUBY (DO) is 1477086916

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY JO RUBY (DO)
NPI
1477086916
Phone
Not provided
Address
4301 W MARKHAM ST
Enumeration Date
11 April 2017
Last Update Date
30 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5016221000
Graduation Year
2017 (9 years ago)
PAC ID
6002186228
Group Practice PAC ID
6901228154
Professional Enrollment ID
I20200730003873
Address ID
AR719136406HO300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

Loading map...

Provider Addresses for BETHANY JO RUBY (DO)

  • University of Arkansas Medical Sciences Medical Center, 4301, West Markham Street, Pulaski Heights, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722057101

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-30

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
I20200730003873IEmergency MedicineARTBD

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
99285Emergency department visit with high level of medical decision making359347$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only180173$0
99284Emergency department visit with moderate level of medical decision making163162$0
99291Critical care, first 30-74 minutes8787$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

Loading plans...

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: 6901228154View full group profile
NameSpecialtyState
Emergency MedicineAR
Emergency MedicineAR
Family PracticeMO
Family PracticeOH
Emergency MedicineNM
Emergency MedicineAR
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineAR
Emergency Medicine, Family PracticeAR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is BETHANY JO RUBY (DO)'s NPI number?
BETHANY JO RUBY (DO)'s NPI is 1477086916 — the number used across U.S. healthcare to identify this provider.
Is BETHANY JO RUBY (DO) still an active registrant?
BETHANY JO RUBY (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for BETHANY JO RUBY (DO)?
At a glance, BETHANY JO RUBY (DO) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BETHANY JO RUBY (DO) located near Little Rock?
BETHANY JO RUBY (DO) currently maps to Little Rock, Arkansas in this extract.
Does BETHANY JO RUBY (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. KEITH BROWN (M.D.)

Interventional Pain Medicine Physician
148 SAWTOOTH OAK ST
NPI: 1114923166

DR. CHARLES FARLEY MASON (M.D.)

Emergency Medicine Physician
CHI St. Vincent Infirmary, 2, Saint Vincent Circle, University Park, Little Rock, Pulaski County, Arkansas, 72205, United States
NPI: 1346232774

DR. TIMOTHY W CALICOTT (M.D.)

Emergency Medicine Physician
14623, Chambery Drive, Rock Creek, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72211, United States
NPI: 1073500542

DR. MARGARET FEURTADO (M.D.)

Emergency Medicine Physician
4202, South University Avenue, College Terrace, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72204, United States
NPI: 1336136571
4301 W MARKHAM ST # 521
NPI: 1346230968

Medical College Physicians Group

Internal Medicine Physician
783, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States
NPI: 1588654016

SUSAN EBEL (MD)

Emergency Medicine Physician
4202, South University Avenue, Univeristy Village, Little Rock, Pulaski County, Arkansas, 72204, United States
NPI: 1376525394
1415, Parkway Drive, Arrowhead Manor, North Little Rock, Hill Township, Pulaski County, Arkansas, 72118, United States
NPI: 1134106743

DR. CYNTHIA ANN SIMMONS (MD)

Emergency Medicine Physician
PO BOX 201606
NPI: 1578542874