DR. MARTY P. WITUCKI PH.D.
NPI 1477587772
Psychologist - Clinical in Gravette, AR

Q: What is Marty Witucki's NPI number?

The NPI number for Marty Witucki is 1477587772. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Marty Witucki's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Marty Witucki was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

1101 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5221(479) 787-5613 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Oct 16, 2023, Aug 19, 2022 and 4 more (7 updates tracked since 2017).

On this page

About Dr. Marty P. Witucki Ph.d. NPPES

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

DR. MARTY P. WITUCKI PH.D. (NPI 1477587772) is an individual clinical provider in Gravette, Arkansas, licensed in Arkansas (16-22P) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1477587772

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARTY P. WITUCKICredential: PH.D.

Location Address1101 JACKSON ST SWGravette, AR 72736-9121

Mailing Address1101 Jackson St SwGravette, AR 72736-9121 · (479) 787-5221 · Fax (479) 787-5613

Phone(479) 787-5221

Fax(479) 787-5613

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJuly 10, 2006

Last NPPES UpdateMay 22, 20257 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1477587772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in AR · 16-22P✔ Licensed in ND · 263

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1101 JACKSON ST SW, Gravette, AR 72736

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13214 NW Avignon Way, Suite 2Bentonville, AR 72712-3916 · Phone (479) 271-8778 · Fax (888) 207-6093

Location 2803 SE Plaza Ave Ste 7Bentonville, AR 72712-7830 · Phone (479) 595-0333

Location 33333 S Pinnacle Hills Pkwy Ste 435Rogers, AR 72758-9095 · Phone (479) 235-4146

Other Identifiers 2

Medicaid621823700MN

Medicaid18115ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Marty P. Witucki Ph.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 ID5799718243

PECOS Enrollment IDI20180109003432

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 72736 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

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.

DR. DAVID JOHN TUCKER MD

Family Medicine