ETHAN P MCMORAN MD
NPI 1063973618
Radiology - Vascular & Interventional Radiology in Little Rock, AR

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
500 S UNIVERSITY AVE STE 101, LITTLE ROCK, AR 72205(501) 664-3914 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan P Mcmoran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN P MCMORAN MD (NPI 1063973618) is an individual vascular & interventional radiology provider in Little Rock, Arkansas, licensed in Arkansas (E-18922) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2019).

NPPES Registry Identity

NPI1063973618
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameETHAN P MCMORANCredential: MD
Location Address500 S UNIVERSITY AVE STE 101Little Rock, AR 72205-5314
Mailing Address500 S University Ave Ste 101Little Rock, AR 72205-5314 · (501) 664-3914
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
NPI 1063973618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in AR · E-18922
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
500 S UNIVERSITY AVE STE 101, Little Rock, AR 72205

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethan P Mcmoran Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597090621
PECOS Enrollment IDI20250827001473
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Physician Assistant
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Physician Assistant
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Physician Assistant
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE STE 101
LITTLE ROCK, AR 72205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Mcmoran's NPI number?

The NPI number for Ethan Mcmoran is 1063973618. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Ethan Mcmoran located?

Ethan Mcmoran practices at 500 S University Ave Ste 101, Little Rock, AR 72205. The listed phone number is (501) 664-3914.

What is Ethan Mcmoran's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Ethan Mcmoran enrolled in Medicare?

Yes. Ethan Mcmoran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Mcmoran accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Ethan Mcmoran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Mcmoran was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.