DR. MARTY P. WITUCKI PH.D.
NPI 1477587772
Psychologist - Clinical in Gravette, AR
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
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Marty Witucki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gravette, AR 72736
- Reassigned Medicare billing, Arkansas enrollment
- 39 clinicians in this Medicare group
Rogers, AR 72758
- Reassigned Medicare billing, Arkansas enrollment
- 2 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 94 clinicians in this Medicare group
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 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.
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.
GRAVETTE, AR 72736
GRAVETTE, AR 72736
GRAVETTE, AR 72736
GRAVETTE, AR 72736
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 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.
Where is Marty Witucki located?
Marty Witucki practices at 1101 Jackson St SW, Gravette, AR 72736. The listed phone number is (479) 787-5221.
What is Marty Witucki's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Marty Witucki enrolled in Medicare?
Yes. Marty Witucki 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 organizations bill Medicare for Marty Witucki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marty Witucki reassigns Medicare benefits to 3 organizations: Sgoh Acquisition Inc (Gravette, AR), South Wind Psychological Services (Rogers, AR) and Chenal Family Therapy, Plc (Little Rock, AR). Each 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 Marty Witucki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marty Witucki accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 6 other insurers list Marty Witucki 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 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 17 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.
# Dr. Marty P. Witucki, PH.D. · NPI 1477587772
Clinical provider in Gravette, Arkansas. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1477587772 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 16-22P (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 JACKSON ST SW, Gravette, AR 72736-9121
- **Phone:** (479) 787-5221 · **Fax:** (479) 787-5613
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sgoh Acquisition Inc (NPI 1568643005, Gravette, AR); South Wind Psychological Services (NPI 1205369824, Rogers, AR); Chenal Family Therapy, Plc (NPI 1356604219, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** May 22, 2025
- **Other identifiers:** Medicaid 621823700 (MN); Medicaid 18115 (ND)
---
Source: [NPI Profile](https://npiprofile.com/npi/1477587772) · Data from the CMS NPPES public registry.