DENNIS JARED BERRY (MD) – Family Medicine Physician, NPI 1770088296

DENNIS JARED BERRY (MD) is a healthcare provider. based in Fayetteville, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-12897 (AR). The NPI Number for DENNIS JARED BERRY (MD) is 1770088296

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS JARED BERRY (MD)
NPI
1770088296
Phone
(479) 301-5861
Address
2642 E GOLDEN OAKS DR
Enumeration Date
27 March 2018
Last Update Date
14 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4796674138
Graduation Year
2021 (5 years ago)
PAC ID
4587082524
Group Practice PAC ID
3678467412
Professional Enrollment ID
I20200908002562
Address ID
AR729493000OZ801XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DENNIS JARED BERRY (MD)

  • 2642, East Golden Oaks Drive, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727036131

    Phone: (479) 301-5861

    Type: Mailing

  • UAMS Northwest, 1125, North College Avenue, Evelyn Hills Shopping Center, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727031908

    Phone: (479) 713-8000

    Type: Location

  • 5230 Willow Creek Dr Ste 201

    Springdale, AR 727620899

    Phone: (479) 927-3100

    Type: Location

  • 880 W MAIN ST

    BOONEVILLE, AR 729273443

    Phone: (479) 675-2800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Abbott Laboratories ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$13
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: 2020-09-08

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
I20200908002562IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes18898$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9211$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: 3678467412View full group profile
NameSpecialtyState
General SurgeryAR
-AR
Emergency MedicineAR
Family PracticeOK
Family PracticeAR
Emergency MedicineIL
-AR
-AR
Family PracticeAR
Family PracticeAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DENNIS JARED BERRY (MD)?
DENNIS JARED BERRY (MD) — NPI 1770088296 — is the standard way to identify this listing.
Does CMS list DENNIS JARED BERRY (MD) as active?
Yes — DENNIS JARED BERRY (MD) is active in the NPI listing used on this page.
What is DENNIS JARED BERRY (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DENNIS JARED BERRY (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DENNIS JARED BERRY (MD)?
DENNIS JARED BERRY (MD)'s geographic hint is Fayetteville, Arkansas in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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