DR. DEVON LEE HOLDER (M.D.) – Diagnostic Radiology Physician, NPI 1902844475
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
379 DIAGNOSTIC RADIOLOGY in AR
Provider Addresses for DR. DEVON LEE HOLDER (M.D.)
5401 RIDGEFIELD LN
LITTLE ROCK, AR 722239728
Phone: (501) 554-5277
Type: Location
120 ADCOCK RD STE B
HOT SPRINGS, AR 719137958
Phone: (866) 601-8435
Fax: (479) 968-1673
Type: Location
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.
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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: 2017-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170110000407 | I | Diagnostic Radiology | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 97 | 97 | $0 |
| 73721 | Mri scan of leg joint without contrast | 97 | 95 | $0 |
| 73221 | Mri scan of arm joint without contrast | 71 | 71 | $0 |
| 71250 | Ct scan of chest without contrast | 47 | 47 | $0 |
| 70450 | Ct scan head or brain without contrast | 46 | 44 | $0 |
Insurance plans in this area (ZIP 72223)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | AR |
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