DR. HERBERT ANDERSON IV LEWIS (M.D.) – Family Medicine Physician, NPI 1558657635

DR. HERBERT ANDERSON IV LEWIS (M.D.) is a healthcare provider. based in Fayetteville, Arkansas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. E-7839 (AR). The NPI Number for DR. HERBERT ANDERSON IV LEWIS (M.D.) is 1558657635

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. HERBERT ANDERSON IV LEWIS (M.D.)
NPI
1558657635
Phone
(479) 521-8260
Address
1125 N College Ave
Enumeration Date
27 June 2011
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4796360200
Graduation Year
2011 (15 years ago)
PAC ID
1254572597
Group Practice PAC ID
0648177873
Professional Enrollment ID
I20130729000538
Address ID
AR727581452RO2710XLNXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. HERBERT ANDERSON IV LEWIS (M.D.)

  • 1125 N College Ave

    Fayetteville, AR 727031908

    Phone: (479) 521-8260

    Fax: (479) 444-7820

    Type: Location

  • 1125 N COLLEGE AVE

    FAYETTEVILLE, AR 727031908

    Phone: (479) 521-8260

    Fax: (479) 444-7820

    Type: Mailing

  • ST MARY'S HOSPITALIST GROUP

    1808 W MAIN ST

    RUSSELLVILLE, AR 728012724

    Phone: (479) 964-4178

    Type: Location

  • 1808 W MAIN ST

    RUSSELLVILLE, AR 728012724

    Phone:

    Fax: (479) 444-7820

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2013-07-29

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
I20130729000538IFamily PracticeARTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes189182$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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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: 0648177873View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAR
Internal Medicine, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerAR
Internal Medicine, General PracticeAR
-AR
R H E U M A T O L O G YAR
-AR
-AR
-AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to DR. HERBERT ANDERSON IV LEWIS (M.D.)?
The federal identifier for DR. HERBERT ANDERSON IV LEWIS (M.D.) is NPI 1558657635.
Is DR. HERBERT ANDERSON IV LEWIS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. HERBERT ANDERSON IV LEWIS (M.D.) as an active registrant.
Can you summarize DR. HERBERT ANDERSON IV LEWIS (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. HERBERT ANDERSON IV LEWIS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HERBERT ANDERSON IV LEWIS (M.D.)'s primary listing?
We display Fayetteville, Arkansas because that is what the record indicates for DR. HERBERT ANDERSON IV LEWIS (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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