DR. EZEKIEL ELLIOTT SHOTTS (M.D.) – Diagnostic Radiology Physician, NPI 1679715130

DR. EZEKIEL ELLIOTT SHOTTS (M.D.) is a healthcare provider. based in Jonesboro, Arkansas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. E-7845 (AR). The NPI Number for DR. EZEKIEL ELLIOTT SHOTTS (M.D.) is 1679715130

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. EZEKIEL ELLIOTT SHOTTS (M.D.)
NPI
1679715130
Phone
(870) 910-6654
Address
225 E WASHINGTON AVE
Enumeration Date
30 March 2009
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709724555
Graduation Year
2009 (17 years ago)
PAC ID
3577757756
Group Practice PAC ID
8123009941
Professional Enrollment ID
I20140805001585
Address ID
AR724013119JO225XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

379 DIAGNOSTIC RADIOLOGY in AR

Provider Addresses for DR. EZEKIEL ELLIOTT SHOTTS (M.D.)

  • 225 E WASHINGTON AVE

    JONESBORO, AR 724013111

    Phone: (870) 910-6654

    Fax: (870) 932-0526

    Type: Location

  • NEA Baptist Memorial Hospital, 4800, East Johnson Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724018413

    Phone: (870) 936-8000

    Fax: (870) 936-1043

    Type: Location

  • South Church Street, Jonesboro, Craighead County, Arkansas, 72401, United States

    STE 101

    JONESBORO, AR 724014154

    Phone: (870) 932-0639

    Fax: (870) 932-0526

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $863.

Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($863).

Total Amount

$863

General + Research + Ownership

Payments

7

Total payment records

General Amount

$863

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140805001585IDiagnostic RadiologyARTBD
I20180816001808IDiagnostic RadiologyMOTBD

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
71046X-ray of chest, 2 views525502$0
70450Ct scan head or brain without contrast511466$0
74018X-ray of abdomen, 1 view383348$0
72100X-ray of lower and sacral spine, 2-3 views289279$0
72148Mri scan of lower spinal canal without contrast284282$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Provider's Procedures

DR. EZEKIEL ELLIOTT SHOTTS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAR71010X-ray of chest, 1 view, front22211542
DIAGNOSTIC RADIOLOGYAR73110X-ray of wrist, minimum of 3 views3836
DIAGNOSTIC RADIOLOGYAR73630X-ray of foot, minimum of 3 views5046
DIAGNOSTIC RADIOLOGYAR74177CT scan of abdomen and pelvis with contrast261247
DIAGNOSTIC RADIOLOGYAR76830Ultrasound pelvis through vagina1212

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: 8123009941View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyAR
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyTX
Diagnostic RadiologyAR
Internal Medicine, Nuclear Medicine, Diagnostic RadiologyTX
Diagnostic Radiology, Interventional RadiologyAZ
Diagnostic RadiologyAZ
Diagnostic RadiologyAR
Diagnostic RadiologyTX
Diagnostic RadiologyDC

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Frequently asked questions

What identifier follows DR. EZEKIEL ELLIOTT SHOTTS (M.D.) across health systems?
The NPI 1679715130 uniquely identifies DR. EZEKIEL ELLIOTT SHOTTS (M.D.) in U.S. healthcare data.
Does the public listing show DR. EZEKIEL ELLIOTT SHOTTS (M.D.) as active?
DR. EZEKIEL ELLIOTT SHOTTS (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. EZEKIEL ELLIOTT SHOTTS (M.D.) provide?
DR. EZEKIEL ELLIOTT SHOTTS (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. EZEKIEL ELLIOTT SHOTTS (M.D.) in Jonesboro, Arkansas?
For routing, start with Jonesboro, Arkansas for DR. EZEKIEL ELLIOTT SHOTTS (M.D.), then verify phone and hours locally.
Why is information missing for DR. EZEKIEL ELLIOTT SHOTTS (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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