DR. JENNINGS R BOYETTE (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1922216084
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $24 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130716000276 | I | Plastic And Reconstructive Surgery | 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 |
|---|---|---|---|---|
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 55 | 55 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 48 | 40 | $0 |
| 15260 | Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | 42 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 28 | 28 | $0 |
Insurance plans in this area (ZIP 72221)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | AR | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 26 | 26 |
| PLASTIC AND RECONSTRUCTIVE SURGERY | AR | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 29 | 29 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | AR | |
| - | AR | |
| Internal Medicine | NY | |
| Internal Medicine, Nephrology | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| - | AR | |
| - | AR |
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