DR. FRANKLIN G BIVINS JR. M.D.
NPI 1427038082
Family Medicine in Heber Springs, AR

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
101 ELY DR, HEBER SPRINGS, AR 72543(501) 362-6000(501) 362-6542 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Franklin G Bivins Jr. M.d. NPPES

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

DR. FRANKLIN G BIVINS JR. M.D. (NPI 1427038082) is an individual family medicine provider in Heber Springs, Arkansas, licensed in Arkansas (C-7660) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1989).

NPPES Registry Identity

NPI1427038082
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRANKLIN G BIVINS JR.Credential: M.D.
Location Address101 ELY DRHeber Springs, AR 72543-2836
Mailing Address101 Ely DrHeber Springs, AR 72543-2836 · (501) 362-6000 · Fax (501) 362-6542
Fax(501) 362-6542
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1989
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 13, 2010
✔ NPI 1427038082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AR · C-7660✔ Licensed in AR · C7660
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.
101 ELY DR, Heber Springs, AR 72543

Other Identifiers 4

Medicare ID-Type Unspecified5C483AR
Other5C483AR · Blue Cross Blue Shield
Medicare UPINE19143AR
Medicaid146109002AR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Franklin G Bivins Jr. M.d. 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 ID1355530908
PECOS Enrollment IDI20110112000842
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 Franklin Bivins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
101 ELY DR
Heber Springs, AR 72543
  • Reassigned Medicare billing, Arkansas enrollment

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

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
454 services298 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
436 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
395 services268 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
346 services188 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
74 services59 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
58 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72543 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers51 claims101 services$6.52 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers18 claims18 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims14 services$1.14 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$21.60 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$8.15 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
101 ELY DR
HEBER SPRINGS, AR 72543

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 Franklin Bivins's NPI number?

The NPI number for Franklin Bivins is 1427038082. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Franklin Bivins located?

Franklin Bivins practices at 101 Ely Dr, Heber Springs, AR 72543. The listed phone number is (501) 362-6000.

What is Franklin Bivins's specialty?

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

Is Franklin Bivins enrolled in Medicare?

Yes. Franklin Bivins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Franklin Bivins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Franklin Bivins reassigns Medicare benefits to Bivins Family Medicine, PA (Heber Springs, 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 Franklin Bivins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Franklin Bivins accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Franklin Bivins 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 Franklin Bivins was last updated on August 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.