JACOB ROBERT SMITH MD
NPI 1417535360
Family Medicine in Fayetteville, AR

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
201 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703(479) 966-4491(479) 966-4311 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, May 23, 2025, Mar 31, 2021 (3 updates tracked since 2021).

About Jacob Robert Smith Md NPPES

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

JACOB ROBERT SMITH MD (NPI 1417535360) is an individual family medicine provider in Fayetteville, Arkansas, licensed in Texas (T9799) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417535360
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB ROBERT SMITHCredential: MD
Location Address201 W VAN ASCHE LOOPFayetteville, AR 72703-4996
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(479) 966-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1417535360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · T9799 Licensed in AR · E-17976
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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License E-17976 (AR)
201 W VAN ASCHE LOOP, Fayetteville, AR 72703

Secondary Practice Locations 2

Location 12601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 425-6800
Location 21500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-1244

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

Jacob Robert Smith 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 ID547704157
PECOS Enrollment IDI20240725001799
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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $19.93 for a new patient copayment and $22.9 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72703 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $79.72
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $19.93
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $91.63
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $22.9
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Durable Medical Equipment & Medical Supplies
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Sports Medicine)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Chiropractor
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physician Assistant
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Dietitian, Registered
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Family Medicine (Sports Medicine)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Family Medicine (Sports Medicine)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physician Assistant (Surgical)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physical Therapist (Orthopedic)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Physical Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Occupational Therapist
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Clinic/Center (Physical Therapy)
201 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417535360, enumerated as an "individual" on March 31, 2021.

The provider is located at 201 W VAN ASCHE LOOP FAYETTEVILLE, AR 72703 and the phone number is (479) 966-4491.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.