DR. SHAUN RANDOLPH SENTER MD
NPI 1972659480
Internal Medicine - Interventional Cardiology in Fayetteville, AR
NPI Status: Active since January 26, 2007
Contact Information
3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 571-4338
Fax: (479) 571-4015
- Individual
- Male
- Years of Experience 22
- Internal Medicine
- Interventional Cardiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About SHAUN SENTER
This page provides the complete NPI Profile along with additional information for Shaun Senter, an internist established in Fayetteville, Arkansas with a medical specialization in Internal Medicine, focusing in interventional cardiology and more than 22 years of experience. He graduated from Rush Medical College Of Rush University in 2004. The healthcare provider is registered in the NPI registry with number 1972659480 assigned on January 2007. The practitioner's primary taxonomy code is 207RI0011X with license number E-6974 (AR). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1972659480
- Provider Name
- DR. SHAUN RANDOLPH SENTER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703
- Location Phone
- (479) 571-4338
- Location Fax
- (479) 571-4015
- Mailing Address
- 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703
- Mailing Phone
- (479) 571-4338
- Mailing Fax
- (479) 571-4015
- Medical School Name
- RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
- Graduation Year
- 2004
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 03-18-2016
- Code Navigator
An internist like Shaun Senter is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- E-6974
- License State
- AR
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | E-6974 (AR) |
2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | E-6974 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shaun Senter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Shaun Senter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9830279645
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110729000416
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Other DME (DE013N)
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type (HCPCS:K0606)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anticoagulant management of patient taking warfarin
Blood test, clotting time
Complete ultrasound study of arm and leg arteries
Coronary angioplasty and stenting
Electrocardiogram (ecg) 2-day continuous
Electrocardiogram (ecg) 2-day continuous with review by health care professional
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Established patient office or other outpatient visit, 40-54 minutes
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
External shock to heart to regulate heart beat
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days
Heart rhythm recording of continous external ekg over 8-15 days
Heart rhythm review and interpretation of continous external ekg over 8-15 days
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
Hospital discharge day management, 30 minutes or less
Hospital discharge day management, more than 30 minutes
Hospital observation care on day of discharge
Initial hospital inpatient care per day, typically 30 minutes
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Nuclear medicine studies of heart muscle at rest and with stress and spect
Pacemaker insertion or repair
Programming of dual lead implantable defibrillator system
Programming of dual lead pacemaker system
Repair of left upper heart chamber with implant with review by radiologist
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel
Ultrasound of aorta, vena cava, groin vessels or bypass grafts
Ultrasound of both sides of head and neck blood flow
Ultrasound of both sides of head and neck blood flow
Ultrasound of heart blood flow, valves and chambers
Ultrasound of heart during rest, exercise and/or drug-induced stress with report
Ultrasound of heart with color-depicted blood flow, rate and valve function
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with probe in esophagus, with report
Ultrasound of heart, follow-up
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
This service was performed 77 times for 15 patientsA clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
This service was performed 307 times for 27 patientsThis procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
This service was performed 26 times for 25 patientsCoronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.
This service was performed for 88 patientsAn Electrocardiogram (ECG) 2-day continuous is a non-invasive test that records the electrical activity of your heart over 48 hours. It helps to detect irregular heart rhythms, heart disease, or other cardiac conditions. You wear a portable device that records heart activity as you go about your daily activities.
This service was performed 16 times for 16 patientsAn Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
This service was performed 16 times for 16 patientsAn Electrocardiogram (ECG) is a test that monitors your heart's electrical activity for up to 30 days. It helps identify irregular heartbeats or rhythms. You'll wear a small device that records your heart activity, especially when symptoms like chest pain or palpitations occur.
This service was performed 25 times for 25 patientsAn Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.
This service was performed 25 times for 25 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 15 times for 15 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 114 times for 114 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 30 times for 28 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 558 times for 532 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 36 times for 34 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 33 times for 33 patientsThis procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
This service was performed 98 times for 63 patientsThis procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
This service was performed 70 times for 47 patientsThis procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
This service was performed 30 times for 19 patientsAn exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
This service was performed 363 times for 361 patientsThis procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.
This service was performed 32 times for 31 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 116 times for 68 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 157 times for 89 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 195 times for 92 patientsThis procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
This service was performed 26 times for 26 patientsA heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.
This service was performed 112 times for 112 patientsThis service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
This service was performed 114 times for 114 patientsA heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
This service was performed 26 times for 26 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 37 times for 37 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 36 times for 36 patientsHospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
This service was performed 15 times for 15 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 19 times for 19 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 69 times for 67 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 86 times for 80 patientsThis procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
This service was performed 56 times for 48 patientsThis procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
This service was performed 153 times for 145 patientsThis procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.
This service was performed 23 times for 23 patientsThis procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.
This service was performed 26 times for 26 patientsThis procedure involves the remote monitoring of an implanted device in your heart for up to 30 days. The device collects data about your heart's function which is transmitted and analyzed. The goal is to track your heart's rhythm and identify any abnormalities.
This service was performed 17 times for 13 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 11 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 298 times for 298 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 27 times for 27 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 366 times for 366 patientsPacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 1-10 patientsProgramming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.
This service was performed 16 times for 16 patientsProgramming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
This service was performed 45 times for 42 patientsThis is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.
This service was performed 40 times for 40 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 746 times for 734 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 913 times for 555 patientsThis procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.
This service was performed 20 times for 20 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps doctors check for issues like blockages or enlargements. It's non-invasive and painless.
This service was performed 23 times for 23 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 254 times for 254 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 14 times for 14 patientsAn ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
This service was performed 159 times for 129 patientsThis procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.
This service was performed 20 times for 20 patientsAn ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
This service was performed 151 times for 123 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 806 times for 781 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 91 times for 91 patientsThis procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
This service was performed 161 times for 131 patientsA follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
This service was performed 138 times for 98 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 72 times for 68 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 31 times for 29 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $29.84 for a new patient copayment and $22.9 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 72703 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $119.36
- Minimum New Patient Price $51.36
- Maximum New Patient Price $157.74
- Average New Patient Copayment $29.84
- Minimum New Patient Copayment $12.84
- Maximum New Patient Copayment $39.43
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $91.63
- Minimum Established Patient Price $16.16
- Maximum Established Patient Price $128.77
- Average Established Patient Copayment $22.9
- Minimum Established Patient Copayment $4.04
- Maximum Established Patient Copayment $32.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Administration of the AHRQ Survey of Patient Safety Culture | Yes | N/A |
Administration of the AHRQ Survey of Patient Safety Culture and submission of data to the comparative database (refer to AHRQ Survey of Patient Safety Culture website http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html).Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score. | ||
Falls: Screening for Future Fall Risk | 96% | 549 |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
Participation in Systematic Anticoagulation Program | Yes | N/A |
Participation in a systematic anticoagulation program (coagulation clinic, patient self-reporting program, or patient self-management program) for 60 percent of practice patients in the transition year and 75 percent of practice patients in Quality Payment Program Year 2 and future years, who receive anti-coagulation medications (warfarin or other coagulation cascade inhibitors). |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 7 | 2 | 6 | 5 | 9 | 4 | 8 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 14 | 2 | 12 | 5 | 18 | 4 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 4 + 2 + 1 + 2 + 5 + 1 + 8 + 4 + 1 + 6 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1972659480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1376500108 | DR. BRANDON S CHISM M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1467494617 | MISTI PATTILLO APN Individual | Nurse Practitioner | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 927-2100 |
1679890966 | WASHINGTON REGIONAL MEDICAL SYSTEM Organization | Internal Medicine (Interventional Cardiology) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1417254780 | BRANDI MARIE BARNES APN Individual | Nurse Practitioner (Acute Care) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 571-4338 |
1578862785 | MRS. NICOLE VAN COMSTOCK ACNP-BC Individual | Nurse Practitioner (Acute Care) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1891043071 | MRS. ELLEN JEAN TEAL APN, NP-C Individual | Nurse Practitioner (Family) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1174890065 | TAYLOR DEE MARSHALL APN Individual | Nurse Practitioner | 3211 N NORTHHILLS BLVD #110 FAYETTEVILLE, AR 72703 (479) 381-3358 |
1831386556 | DR. ZUBAIR AHMED M.D. Individual | Internal Medicine (Interventional Cardiology) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1104361864 | DAWN MICHELLE SMEDLEY APRN Individual | Clinical Nurse Specialist | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 571-4338 |
1447512579 | MISS COURTNEY MAE BURNS APN Individual | Clinical Nurse Specialist (Adult Health) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1093281917 | JUSTIN PARTIN Individual | Nurse Practitioner (Acute Care) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 571-4338 |
1861025173 | LAURA DROKE APRN Individual | Nurse Practitioner (Acute Care) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-1000 |
1376285577 | ERIKA MEZA APRN Individual | Nurse Practitioner (Acute Care) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-8740 |
1023072808 | DR. DAVID A CHURCHILL Individual | Internal Medicine (Interventional Cardiology) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1053375857 | DR. TED J FISH M.D. Individual | Internal Medicine (Interventional Cardiology) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1558325324 | DR. JOEL D CARVER M.D. Individual | Internal Medicine (Interventional Cardiology) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1649885252 | KAITLYNN NICHOLE WILLIAMS FNP-C Individual | Nurse Practitioner (Family) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-8740 |
1790749638 | DR. BORIS V BOGOMILOV MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 3211 N NORTHHILLS BLVD SUITE 110 FAYETTEVILLE, AR 72703 (479) 571-4338 |
1477930295 | YANG YANG Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-8740 |
1043049422 | MISS SARAH ANNE CAMPBELL DNP, AGAC-BC Individual | Nurse Practitioner (Acute Care) | 3211 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-8740 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972659480, enumerated in the NPI registry as an "individual" on January 26, 2007
The provider is located at 3211 N Northhills Blvd Suite 110 Fayetteville, Ar 72703 and the phone number is (479) 571-4338
The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology
The provider has more than 22 years of experience. He graduated from Rush Medical College Of Rush University in 2004.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $119.36 with an average copayment of $29.84 for new patient appointments. Established patients should expect a typical charge of $91.63 and an average copayment of 22.9. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Anticoagulant management of patient taking warfarin, Blood test, clotting time, Complete ultrasound study of arm and leg arteries, Coronary angioplasty and stenting, Electrocardiogram (ecg) 2-day continuous, Electrocardiogram (ecg) 2-day continuous with review by health care professional, Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Established patient office or other outpatient visit, 40-54 minutes, Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days, Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days, Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days, Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician, External shock to heart to regulate heart beat, Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Heart rhythm recording continous external ekg over more than 48 hours up to 7 days, Heart rhythm recording of continous external ekg over 8-15 days, Heart rhythm review and interpretation of continous external ekg over 8-15 days, Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days, Hospital discharge day management, 30 minutes or less, Hospital discharge day management, more than 30 minutes, Hospital observation care on day of discharge, Initial hospital inpatient care per day, typically 30 minutes, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch, Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist, Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist, Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist, Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec, Leg revascularization (restoring blood flow), New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Nuclear medicine studies of heart muscle at rest and with stress and spect, Pacemaker insertion or repair, Programming of dual lead implantable defibrillator system, Programming of dual lead pacemaker system, Repair of left upper heart chamber with implant with review by radiologist, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel, Ultrasound of aorta, vena cava, groin vessels or bypass grafts, Ultrasound of both sides of head and neck blood flow, Ultrasound of both sides of head and neck blood flow, Ultrasound of heart blood flow, valves and chambers, Ultrasound of heart during rest, exercise and/or drug-induced stress with report, Ultrasound of heart with color-depicted blood flow, rate and valve function, Ultrasound of heart with color-depicted blood flow, rate, direction and valve function, Ultrasound of heart with color-depicted blood flow, rate, direction and valve function, Ultrasound of heart with probe in esophagus, with report, Ultrasound of heart, follow-up, Ultrasound study of arm or leg veins with compression and maneuvers and Ultrasound study of one arm or leg veins with compression and maneuvers.
This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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