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RALPH N INGRAM MD
NPI 1366430126
Family Medicine in Fort Smith, AR

Active since October 06, 2005Opted out of Medicare · through Apr 1, 2027
5111 ROGERS AVE, STE 40M, FORT SMITH, AR 72903(479) 709-7440(479) 709-7441 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph N Ingram Md NPPES

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

RALPH N INGRAM MD (NPI 1366430126) is an individual family medicine provider in Fort Smith, Arkansas, licensed in Arkansas (C4289) and active in the NPI registry since October 2005. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366430126
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRALPH N INGRAMCredential: MD
Location Address5111 ROGERS AVE, STE 40MFort Smith, AR 72903-2047
Mailing AddressPo Box 1824Fort Smith, AR 72902-1824 · (479) 709-7399 · Fax (479) 709-7053
Phone(479) 709-7440
Fax(479) 709-7441
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateSeptember 15, 2008
✔ NPI 1366430126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · C4289
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5111 ROGERS AVE, Fort Smith, AR 72903
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Other Identifiers 4

Medicare ID-Type Unspecified52572AR
Medicaid105589001AR
Medicaid100073480AOK
Medicare UPIND04663AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ralph N Ingram Md 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-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 72903 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
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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.

WEEKEND DENTAL CLINIC
Dentist (General Practice)
5111 ROGERS AVE, SUITE 207
FORT SMITH, AR 72903
Sebastian County (479) 719-0753
MALCOLM R HUTCHINS O D P A
Optometrist
5111 ROGERS AVE, SUITE 54
FORT SMITH, AR 72903
Sebastian County (479) 452-1496
MEADVILLE HEARING AIDS, INC
Hearing Instrument Specialist
5111 ROGERS AVE, CENTRAL MALL SUITE 550
FORT SMITH, AR 72903
Sebastian County (479) 484-5485
HOLLY KATHERINE JARVIS LAC
Counselor
5111 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 595-0333
PEARL BEASON LPC
Counselor (Mental Health)
5111 ROGERS AVE, SUITE 521
FORT SMITH, AR 72903
Sebastian County (479) 657-6636
DR. BRANDON L SWINK
Optometrist
5111 ROGERS AVE, SUITE 54
FORT SMITH, AR 72903
Sebastian County (479) 452-1496
VON PHOMAKAY DO
Family Medicine
5111 ROGERS AVE, STE 40M
FORT SMITH, AR 72903
Sebastian County (479) 709-7440
PETER MCCOLLOUGH QBHP
Counselor (Mental Health)
5111 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 222-0268

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 Ralph Ingram's NPI number?

The NPI number for Ralph Ingram is 1366430126. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Ralph Ingram located?

Ralph Ingram practices at 5111 Rogers Ave Ste 40M, Fort Smith, AR 72903. The listed phone number is (479) 709-7440.

What is Ralph Ingram's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ralph Ingram enrolled in Medicare?

No. Ralph Ingram has opted out of Medicare through April 1, 2027. 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.

When was this NPI record last updated?

The NPPES record for Ralph Ingram was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.