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DR. RYAN MICHAEL SOUTHARD M.D.
NPI 1093178915
Pediatrics in Conway, AR

Active since March 29, 2016PECOS Enrolled
821 HOGAN LN STE 500, CONWAY, AR 72034(501) 764-4443(501) 764-4454 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 8, 2025, May 3, 2022, Feb 17, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Ryan Michael Southard M.d. NPPES

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

DR. RYAN MICHAEL SOUTHARD M.D. (NPI 1093178915) is an individual pediatrics provider in Conway, Arkansas, licensed in Arkansas (E-12104) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093178915
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RYAN MICHAEL SOUTHARDCredential: M.D.
Location Address821 HOGAN LN STE 500Conway, AR 72034-7970
Mailing Address821 Hogan Ln Ste 500Conway, AR 72034-7970 · (501) 764-4443 · Fax (501) 358-9894
Phone(501) 764-4443
Fax(501) 764-4454
Sole ProprietorYes
Enumeration DateMarch 29, 2016
Last NPPES UpdateAugust 8, 20256 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1093178915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AR · E-12104✔ Licensed in SC · 82349
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
821 HOGAN LN STE 500, Conway, AR 72034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Michael Southard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Southard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Health Group
5.0 mi
Clinic/Center
625 UNITED DR STE 410
Conway, AR 72032
  • Reassigned Medicare billing, Arkansas enrollment
  • 5 clinicians in this Medicare group
NPI 1700311222 (501) 358-6892

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 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
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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

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

EXPEDITION HEALTH AND PEDIATRICS, PLLC
Pediatrics
821 HOGAN LN STE 500
CONWAY, AR 72034
Faulkner County (501) 764-4443

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 Ryan Southard's NPI number?

The NPI number for Ryan Southard is 1093178915. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Ryan Southard located?

Ryan Southard practices at 821 Hogan Ln Ste 500, Conway, AR 72034. The listed phone number is (501) 764-4443.

What is Ryan Southard's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ryan Southard enrolled in Medicare?

Yes. Ryan Southard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Southard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Southard reassigns Medicare benefits to Arkansas Health Group (Conway, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Southard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Southard accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ryan Southard 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 Ryan Southard was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.