PHILLIP C STITES (MD) – Dermatology Physician, NPI 1821085887

PHILLIP C STITES (MD) is a healthcare provider. based in Fort smith, Arkansas. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials MD. They hold a License No. E2778 (AR). The NPI Number for PHILLIP C STITES (MD) is 1821085887

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP C STITES (MD)
NPI
1821085887
Phone
(479) 709-7340
Address
PO BOX 1644
Enumeration Date
4 October 2005
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4792426647
Graduation Year
1997 (29 years ago)
PAC ID
9830168913
Group Practice PAC ID
5799842845
Professional Enrollment ID
I20040927000196
Address ID
AR729035690FO7900XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

107 DERMATOLOGY in AR

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Provider Addresses for PHILLIP C STITES (MD)

  • PO BOX 1644

    FORT SMITH, AR 729021644

    Phone: (479) 709-7340

    Fax: (479) 709-7484

    Type: Mailing

  • Baptist Health Medical Plaza, 1500, Dodson Avenue, Fort Smith, Sebastian County, Arkansas, 72901, United States

    STE 270

    FORT SMITH, AR 729015182

    Phone: (479) 709-7340

    Fax: (479) 709-7484

    Type: Location

  • 7900 DALLAS STREET

    FORT SMITH, AR 729035690

    Phone: (479) 242-6647

    Fax: (479) 250-0505

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 270 Open Payments records for all available years, with a total value of $4,989.

Total Amount is formed as General ($4,989) + Research ($0) + Ownership ($0) = $4,989.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($831).

Total Amount

$4,989

General + Research + Ownership

Payments

270

Total payment records

General Amount

$4,989

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-09-27

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
I20040927000196IDermatologyARTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg6,80028$0
17003Destruction of precancer skin growth, 2-14 growths4,538674$0
99213Established patient office or other outpatient visit, 20-29 minutes1,9731,393$0
17000Destruction of precancer skin growth, 1 growth1,099830$0
G6001Ultrasonic guidance for placement of radiation therapy fields87748$0
View full utilization report →

Insurance plans in this area (ZIP 72902)

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Provider's Procedures

PHILLIP C STITES (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAR11101Biopsy of each additional growth of skin and/or tissue9483
DERMATOLOGYAR17003Destruction of 2-14 skin growths5171855

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: 5799842845View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
D E R M A T O L O G YAR
Physician AssistantAR
Physician AssistantAR

Reviews

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Frequently asked questions

Can I use this page to confirm PHILLIP C STITES (MD)'s NPI?
Yes. PHILLIP C STITES (MD) is listed with NPI 1821085887 in the public NPI dataset.
Can I rely on PHILLIP C STITES (MD) being an active provider?
As of the registry snapshot, PHILLIP C STITES (MD) is marked active.
What is PHILLIP C STITES (MD) best known for clinically?
Directory data describes PHILLIP C STITES (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does PHILLIP C STITES (MD) serve?
PHILLIP C STITES (MD)'s listing highlights Fort Smith, Arkansas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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