DR. JAMES S. COUNCE MD
NPI 1104805498
Specialist in Fayetteville, AR

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
3276 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703(479) 587-1114(479) 587-1119 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James S. Counce Md NPPES

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

DR. JAMES S. COUNCE MD (NPI 1104805498) is an individual specialist in Fayetteville, Arkansas, licensed in Arkansas (C7009) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1986).

NPPES Registry Identity

NPI1104805498
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JAMES S. COUNCECredential: MD
Location Address3276 N. NORTH HILLS BLVD.Fayetteville, AR 72703
Mailing AddressPo Box 550Lowell, AR 72745-0550 · (479) 463-7775 · Fax (479) 463-7187
Fax(479) 587-1119
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1986
Enumeration DateJanuary 13, 2006
Last NPPES UpdateMarch 9, 2018
NPI 1104805498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AR · C7009
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3276 N. NORTH HILLS BLVD., Fayetteville, AR 72703

Other Identifiers 3

Medicaid206707200MO
Medicaid100068610AOK
Medicaid114510001AR

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

Dr. James S. Counce 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 ID8022038892
PECOS Enrollment IDI20051123000347
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
78 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
63 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
38 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-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.
24 services18 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
23 services23 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$16.26 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$82.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Specialist
3276 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703
Specialist
3276 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703
Specialist
3276 N. NORTH HILLS BLVD.
FAYETTEVILLE, AR 72703

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 James Counce's NPI number?

The NPI number for James Counce is 1104805498. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is James Counce located?

James Counce practices at 3276 N. North Hills Blvd., Fayetteville, AR 72703. The listed phone number is (479) 587-1114.

What is James Counce's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Counce enrolled in Medicare?

Yes. James Counce 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 James Counce accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list James Counce 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 James Counce was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.