1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Specialist
  6. NPI Profile

GARY D FINE D.O., F.A.C.C.
NPI 1245231828
Specialist in Fort Smith, AR

Active since August 09, 2005PECOS Enrolled
65.74/100
CMS Quality Rating
4200 JENNY LIND ROAD, SUITE A, FORT SMITH, AR 72901(479) 484-1010(479) 785-9916 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gary D Fine D.o., F.a.c.c. NPPES

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

GARY D FINE D.O., F.A.C.C. (NPI 1245231828) is an individual specialist in Fort Smith, Arkansas, licensed in Arkansas (E0277) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245231828
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGARY D FINECredential: D.O., F.A.C.C.
Location Address4200 JENNY LIND ROAD, SUITE AFort Smith, AR 72901
Mailing AddressPo Box 11768Fort Smith, AR 72917-1768 · (479) 484-1010 · Fax (479) 785-9916
Phone(479) 484-1010
Fax(479) 785-9916
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 20, 2014
✔ NPI 1245231828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · E0277
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.
4200 JENNY LIND ROAD, Fort Smith, AR 72901
Open in Google Maps ↗

Other Identifiers 4

Medicare UPIND38536
Medicare PIN5J625
Medicare UPIND38536AR
Medicaid127031003AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary D Fine D.o., F.a.c.c. 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 Gary Fine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choctaw Nation Of Oklahoma
29 mi
Primary Care
109 KERR AVE
Poteau, OK 74953
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group
NPI 1710953799 (918) 567-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

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 Gary Fine's NPI number?

The NPI number for Gary Fine is 1245231828. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Gary Fine located?

Gary Fine practices at 4200 Jenny Lind Road Suite A, Fort Smith, AR 72901. The listed phone number is (479) 484-1010.

What is Gary Fine's specialty?

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

Is Gary Fine enrolled in Medicare?

Yes. Gary Fine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Fine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Fine reassigns Medicare benefits to Choctaw Nation Of Oklahoma (Poteau, OK). 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 Gary Fine'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 Gary Fine was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.