KRISTOPHER B SHEWMAKE MD
NPI 1164474722
Plastic Surgery in Little Rock, AR

Q: What is Kristopher Shewmake's NPI number?

The NPI number for Kristopher Shewmake is 1164474722. It was assigned to this individual provider in the NPPES registry on May 16, 2006. The provider is also known as Kris B Shewmake MD.

Q: What is Kristopher Shewmake's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since May 16, 2006PECOS Enrolled

9500 KANIS ROAD, STE 501, LITTLE ROCK, AR 72205(501) 219-8388(501) 217-2520 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kristopher B Shewmake Md NPPES

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

KRISTOPHER B SHEWMAKE MD (NPI 1164474722) is an individual plastic surgery provider in Little Rock, Arkansas, licensed in Arkansas (C6666) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164474722

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameKRISTOPHER B SHEWMAKECredential: MD

Location Address9500 KANIS ROAD, STE 501Little Rock, AR 72205

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-6562

Phone(501) 219-8388

Fax(501) 217-2520

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateDecember 7, 2016

✔ NPI 1164474722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in AR · C6666

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

9500 KANIS ROAD, Little Rock, AR 72205

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Other Names 1

Professional Name (2)Kris B Shewmake Md

Other Identifiers 2

Medicare UPINC67758

Medicaid111463001AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristopher B Shewmake Md 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 Kristopher Shewmake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Childrens Hospital

8.4 mi

Pediatrics

1 CHILDRENS WAY # 664
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
944 clinicians in this Medicare group

NPI 1598773079 (501) 364-2526

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 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 8

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

GARY E TALBERT MD

Plastic Surgery

9500 KANIS ROAD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 219-8388

DAVID H BAUER MD

Plastic Surgery

9500 KANIS ROAD, SUITE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 219-8388

DR. CHRIS M CATE MD

Surgery

9500 KANIS ROAD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

DR. MICHAEL MARION POLLOCK MD

Surgery

9500 KANIS ROAD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

JAMES E HAGANS III M.D.

Surgery

9500 KANIS ROAD, SUITE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-8166

DR. JOHN FREDERICK DUNN MD

Surgery

9500 KANIS ROAD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

DR. WILLIAM EVERETT TUCKER JR. MD

Surgery

9500 KANIS ROAD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

DR. PATRICK N OSAM SR. MD

Surgery

9500 KANIS ROAD, STE 501
LITTLE ROCK, AR 72205

Pulaski County (501) 227-9080

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 Kristopher Shewmake's NPI number?

The NPI number for Kristopher Shewmake is 1164474722. It was assigned to this individual provider in the NPPES registry on May 16, 2006. The provider is also known as Kris B Shewmake MD.

Where is Kristopher Shewmake located?

Kristopher Shewmake practices at 9500 Kanis Road Ste 501, Little Rock, AR 72205. The listed phone number is (501) 219-8388.

What is Kristopher Shewmake's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kristopher Shewmake enrolled in Medicare?

Yes. Kristopher Shewmake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristopher Shewmake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Shewmake reassigns Medicare benefits to Arkansas Childrens Hospital (Little Rock, 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 Kristopher Shewmake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristopher Shewmake was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.