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DR. RICKEY D MEDLOCK M.D.
NPI 1366424996
Ophthalmology - Retina Specialist in Little Rock, AR

Active since November 18, 2005PECOS Enrolled
9800 BAPTIST HEALTH DR STE 200, LITTLE ROCK, AR 72205(501) 219-0900(501) 312-4750 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rickey D Medlock M.d. NPPES

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

DR. RICKEY D MEDLOCK M.D. (NPI 1366424996) is an individual retina specialist in Little Rock, Arkansas, licensed in Arkansas (C6445) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366424996
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. RICKEY D MEDLOCKCredential: M.D.
Location Address9800 BAPTIST HEALTH DR STE 200Little Rock, AR 72205-6243
Mailing Address2200 Broadway StLittle Rock, AR 72206-1358
Phone(501) 219-0900
Fax(501) 312-4750
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateApril 8, 2019
✔ NPI 1366424996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in AR · C6445
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
9800 BAPTIST HEALTH DR STE 200, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rickey D Medlock M.d. 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 Rickey Medlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina Associates, P.A.
0.2 mi
Specialist
9800 LILE DR, SUITE 200
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 10 clinicians in this Medicare group
NPI 1447215603 (501) 219-0900

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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
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 2

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

DR. PAUL MICHAEL HRUBY M.D.
Ophthalmology (Retina Specialist)
9800 BAPTIST HEALTH DR STE 200
LITTLE ROCK, AR 72205
Pulaski County (501) 219-0900
DR. GERALD T WARE M.D.
Ophthalmology (Retina Specialist)
9800 BAPTIST HEALTH DR STE 200
LITTLE ROCK, AR 72205
Pulaski County (501) 219-0900

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 Rickey Medlock's NPI number?

The NPI number for Rickey Medlock is 1366424996. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Rickey Medlock located?

Rickey Medlock practices at 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205. The listed phone number is (501) 219-0900.

What is Rickey Medlock's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Rickey Medlock enrolled in Medicare?

Yes. Rickey Medlock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rickey Medlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rickey Medlock reassigns Medicare benefits to Retina Associates, P.A. (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 Rickey Medlock'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 Rickey Medlock was last updated on April 8, 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.