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MONTE DOUGLAS PA-C
NPI 1154736262
Physician Assistant in Jacksonville, AR

Active since June 26, 2014PECOS Enrolled
1400 BRADEN ST, JACKSONVILLE, AR 72076(501) 241-1676(501) 241-1427 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monte Douglas Pa-c NPPES

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

MONTE DOUGLAS PA-C (NPI 1154736262) is an individual physician assistant in Jacksonville, Arkansas, licensed in Arkansas (PA-547) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1154736262
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMONTE DOUGLASCredential: PA-C
Location Address1400 BRADEN STJacksonville, AR 72076-3721
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534 · Fax (870) 347-3492
Phone(501) 241-1676
Fax(501) 241-1427
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 26, 2014
Last NPPES UpdateApril 15, 2019
✔ NPI 1154736262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AR · PA-547
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1400 BRADEN ST, Jacksonville, AR 72076
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Secondary Practice Location 1

Location 12 Saint Vincent CirLittle Rock, AR 72205-5423 · Phone (501) 552-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monte Douglas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769700673
PECOS Enrollment IDI20150406000149
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 9

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.

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.
345 services85 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
156 services46 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
97 services51 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
69 services18 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
58 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72076 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims26 services$78.99 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
3 suppliers40 claims265 services$22.87 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers34 claims157 services$7.77 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
3 suppliers32 claims32 services$837.86 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 20

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

UNITY HEALTH - JACKSONVILLE
Clinic/Center (Radiology)
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000
DR. GEORGE THOMPSON GRAY III D.O.
Family Medicine
1400 BRADEN ST, EMERGENCY DEPT
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
JACKSONVILLE EMERGENCY MEDICINE LLC
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
RITA MARGARET ODOM NP
Nurse Practitioner (Acute Care)
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (800) 893-9698
UNITY HEALTH - JACKSONVILLE
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000
JABBAR JOSHUA
Family Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
PULASKI EMERGENCY GROUP LLC
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
DR. BRANDI RENEE HENSON MD
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000

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 Monte Douglas's NPI number?

The NPI number for Monte Douglas is 1154736262. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Monte Douglas located?

Monte Douglas practices at 1400 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 241-1676.

What is Monte Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Monte Douglas enrolled in Medicare?

Yes. Monte Douglas is registered in the Medicare PECOS enrollment system.

What insurance does Monte Douglas accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Monte Douglas 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 Monte Douglas was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.