DR. JENNINGS R BOYETTE (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1922216084

DR. JENNINGS R BOYETTE (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. MD.205264 (LA). The NPI Number for DR. JENNINGS R BOYETTE (MD) is 1922216084

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNINGS R BOYETTE (MD)
NPI
1922216084
Phone
Not provided
Address
PO BOX 23037
Enumeration Date
20 May 2007
Last Update Date
12 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
5597929190
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20130716000276
Address ID
AR722057101LI4301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

32 PLASTIC AND RECONSTRUCTIVE SURGERY in AR

Provider Addresses for DR. JENNINGS R BOYETTE (MD)

  • PO BOX 23037

    LITTLE ROCK, AR 722213037

    Phone:

    Type: Mailing

  • 11412 HURON LN

    LITTLE ROCK, AR 722111847

    Phone: (501) 302-1402

    Type: Location

  • University of Arkansas Medical Sciences Medical Center, 4301, West Markham Street, Pulaski Heights, Little Rock, Pulaski County, Arkansas, 72205, United States

    DEPT. OF OTOLARYNGOLOGY, #543

    LITTLE ROCK, AR 722057101

    Phone: (501) 603-1214

    Type: Location

  • 521, North Pine Street, Pulaski Heights, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722053937

    Phone:

    Type: Mailing

  • 5921 Riley Park Dr

    Fort Smith, AR 729166103

    Phone: (501) 302-1402

    Type: Location

  • 2062 Highway 62 W

    Mountain Home, AR 726537656

    Phone: (501) 302-1402

    Type: Location

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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-05-19 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$24
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: 2013-07-16

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
I20130716000276IPlastic And Reconstructive SurgeryARTBD

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
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less5555$0
99212Established patient office or other outpatient visit, 10-19 minutes4840$0
15260Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less4241$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm2828$0
View full utilization report →

Insurance plans in this area (ZIP 72221)

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Provider's Procedures

DR. JENNINGS R BOYETTE (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYAR13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2626
PLASTIC AND RECONSTRUCTIVE SURGERYAR14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips2929

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: 4082528955View full group profile
NameSpecialtyState
N E U R O L O G YAR
-AR
Internal MedicineNY
Internal Medicine, NephrologyAR
-AR
-AR
Nurse PractitionerAR
P S Y C H I A T R YAR
-AR
-AR

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Frequently asked questions

What number should I use to identify DR. JENNINGS R BOYETTE (MD) for billing?
Administrative and clinical systems typically use NPI 1922216084 for DR. JENNINGS R BOYETTE (MD).
Is DR. JENNINGS R BOYETTE (MD)'s NPI status active today?
Active status means DR. JENNINGS R BOYETTE (MD)'s NPI record is not deactivated in the public file.
What services align with DR. JENNINGS R BOYETTE (MD)'s listing?
DR. JENNINGS R BOYETTE (MD)'s public classification highlights Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JENNINGS R BOYETTE (MD) in Little Rock, Arkansas?
For routing, start with Little Rock, Arkansas for DR. JENNINGS R BOYETTE (MD), then verify phone and hours locally.
Can I export DR. JENNINGS R BOYETTE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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