JAY KINCANNON MD
NPI 1184711236
Dermatology - Pediatric Dermatology in Little Rock, AR

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 526-5148 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay Kincannon Md NPPES

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

JAY KINCANNON MD (NPI 1184711236) is an individual pediatric dermatology provider in Little Rock, Arkansas, licensed in Arkansas (C-6844) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1985).

NPPES Registry Identity

NPI1184711236
Entity TypeIndividualMale
Primary Taxonomy207NP0225X
Provider Legal NameJAY KINCANNONCredential: MD
Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 526-5148
Fax(501) 526-5148
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1985
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 17, 2011
NPI 1184711236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License Licensed in AR · C-6844
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
1 CHILDRENS WAY # 653, Little Rock, AR 72202

Other Identifiers 5

Medicaid119266001AR
Other370005986AR · Railroad Medicare
Medicare PIN5AJ06AR
Medicare UPINE85452
Medicare PIN54609

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

Jay Kincannon 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 ID5597946129
PECOS Enrollment IDI20110302000069
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 6

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
132 services34 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.
68 services68 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
43 services41 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.
34 services31 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
16 services15 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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 20

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

Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Urology (Pediatric Urology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202

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 Jay Kincannon's NPI number?

The NPI number for Jay Kincannon is 1184711236. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Jay Kincannon located?

Jay Kincannon practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Jay Kincannon's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Jay Kincannon enrolled in Medicare?

Yes. Jay Kincannon 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 Jay Kincannon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Jay Kincannon 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 Jay Kincannon was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.