JAMIE A CANNON MD
NPI 1568514644
Colon & Rectal Surgery in Little Rock, AR

Q: What is Jamie Cannon's NPI number?

The NPI number for Jamie Cannon is 1568514644. It was assigned to this individual provider in the NPPES registry on January 17, 2007. The provider is also known as Jamie Cannon Tiller.

Q: What is Jamie Cannon's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Cannon was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 January 17, 2007PECOS EnrolledAccepts Medicare Assignment

4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-5148 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Oct 25, 2022, Oct 6, 2022 (3 updates tracked since 2022).

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About Jamie A Cannon Md NPPES

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

JAMIE A CANNON MD (NPI 1568514644) is an individual colon & rectal surgery provider in Little Rock, Arkansas, licensed in Arkansas (E-18336) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2002).

NPPES Registry Identity

NPI1568514644

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameJAMIE A CANNONCredential: MD

Location Address4301 W MARKHAM ST # 520Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 686-8000

Fax(501) 526-5148

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2002

Enumeration DateJanuary 17, 2007

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1568514644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in AR · E-18336

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License E-18336 (AR), 28870 (AL)

4301 W MARKHAM ST # 520, Little Rock, AR 72205

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Other Names 1

Former Name (1)Jamie Cannon Tiller

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 Louisiana Healthcare Connections 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

Jamie A Cannon 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 ID7517067648

PECOS Enrollment IDI20240925004563

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.

Areas of Expertise CMS Part B claims 2

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.

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.

13 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

7 suppliers41 claims1,250 services$2.01 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

4 suppliers20 claims36 services$5.56 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

7 suppliers41 claims57 services$2.58 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

7 suppliers47 claims1,265 services$3.12 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

4 suppliers13 claims580 services$6.00 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

6 suppliers35 claims574 services$2.08 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

7 suppliers32 claims157 services$4.82 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers20 claims380 services$6.42 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

6 suppliers23 claims660 services$3.87 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

4 suppliers12 claims460 services$4.48 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424

DME-Orthotic Devices · category DF010N

4 suppliers16 claims620 services$3.85 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

6 suppliers33 claims780 services$2.48 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427

DME-Orthotic Devices · category DF010N

2 suppliers23 claims690 services$2.31 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

7 suppliers24 claims1,075 services$0.19 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057

DME-Orthotic Devices · category DF010N

3 suppliers17 claims490 services$9.28 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

7 suppliers55 claims1,887 services$0.20 avg. paid by Medicare

Skin barrier; solid, 6 x 6 or equivalent, each A5121

DME-Orthotic Devices · category DF010N

2 suppliers13 claims200 services$5.20 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 20

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

SANDRA MINERVA GARCIA OSOGOBIO MD

Colon & Rectal Surgery