DR. WILLIAM ANDREW IV STEVENSON (M.D.) – Family Medicine Physician, NPI 1558716738

DR. WILLIAM ANDREW IV STEVENSON (M.D.) is a healthcare provider. based in Booneville, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. E-11517 (AR). The NPI Number for DR. WILLIAM ANDREW IV STEVENSON (M.D.) is 1558716738

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM ANDREW IV STEVENSON (M.D.)
NPI
1558716738
Phone
(479) 675-2455
Address
128 DANIEL DR
Enumeration Date
26 April 2016
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4796752455
Graduation Year
2016 (10 years ago)
PAC ID
0446549083
Group Practice PAC ID
1951530385
Professional Enrollment ID
I20181003001087
Address ID
AR729274055BO128XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. WILLIAM ANDREW IV STEVENSON (M.D.)

  • 128 DANIEL DR

    BOONEVILLE, AR 729274055

    Phone: (479) 675-2455

    Fax: (479) 675-4940

    Type: Location

  • 7600, Briarwood Circle, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722054811

    Phone: (479) 220-1885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $354.

Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($68).

Total Amount

$354

General + Research + Ownership

Payments

21

Total payment records

General Amount

$354

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-03

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
I20181003001087IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72927)

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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: 1951530385View full group profile
NameSpecialtyState
Nurse PractitionerAR
Emergency MedicineOK
Emergency MedicineAR
-AR
Family PracticeAR
-AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify DR. WILLIAM ANDREW IV STEVENSON (M.D.) with an NPI only?
You can start verification with NPI 1558716738 for DR. WILLIAM ANDREW IV STEVENSON (M.D.), then check state licensing separately.
Does the file indicate DR. WILLIAM ANDREW IV STEVENSON (M.D.) is practicing under active NPI?
Directory data currently reports DR. WILLIAM ANDREW IV STEVENSON (M.D.) as active.
What is DR. WILLIAM ANDREW IV STEVENSON (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. WILLIAM ANDREW IV STEVENSON (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. WILLIAM ANDREW IV STEVENSON (M.D.)?
DR. WILLIAM ANDREW IV STEVENSON (M.D.)'s geographic hint is Booneville, Arkansas in our summary view.
Is the information about DR. WILLIAM ANDREW IV STEVENSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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