DR. JOHN M LALLY DDS
NPI 1194745745
Dentist - General Practice in Mcgehee, AR

Active since July 19, 2006Opted out of Medicare · through Aug 31, 2026
601 N 2ND ST, MCGEHEE, AR 71654(870) 222-3926(870) 222-4002 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John M Lally Dds NPPES

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

DR. JOHN M LALLY DDS (NPI 1194745745) is an individual general practice provider in Mcgehee, Arkansas, licensed in Arkansas (2164) and active in the NPI registry since July 2006. He has opted out of Medicare through August 31, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194745745
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN M LALLYCredential: DDS
Location Address601 N 2ND STMcgehee, AR 71654-2005
Mailing Address601 N 2nd StMcgehee, AR 71654-2005 · (870) 222-3926 · Fax (870) 222-4002
Fax(870) 222-4002
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1194745745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 2164
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

601 N 2ND ST, Mcgehee, AR 71654

Other Identifiers 4

Medicare ID-Type Unspecified102093608AR · Medicare Provider Number
Other58382AR · Blue Cross Blue Shield
Medicaid139106631AR
Other000834033AR · United Concordia Provider

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John M Lally Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 31, 2016 through August 31, 2026.

Opt-Out Effective DateAugust 31, 2016
Opt-Out In Effect ThroughAugust 31, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71654 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 3

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

Dentist (General Practice)
601 N 2ND ST
MC GEHEE, AR 71654
Dentist
601 N 2ND ST
MC GEHEE, AR 71654
Dentist (General Practice)
601 N 2ND ST
MC GEHEE, AR 71654

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 John Lally's NPI number?

The NPI number for John Lally is 1194745745. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is John Lally located?

John Lally practices at 601 N 2nd St, Mcgehee, AR 71654. The listed phone number is (870) 222-3926.

What is John Lally's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Lally enrolled in Medicare?

No. John Lally has opted out of Medicare through August 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Lally 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 6 other insurers list John Lally 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 John Lally was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.