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DR. JACOB MICAH BOYDSTUN D.O.
NPI 1568805299
Psychiatry & Neurology - Psychiatry in Little Rock, AR

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(432) 770-5923 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacob Micah Boydstun D.o. NPPES

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

DR. JACOB MICAH BOYDSTUN D.O. (NPI 1568805299) is an individual psychiatry provider in Little Rock, Arkansas, licensed in Arkansas (E-9954) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1568805299
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JACOB MICAH BOYDSTUNCredential: D.O.
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham StLittle Rock, AR 72205-7101 · (432) 770-5923
Phone(432) 770-5923
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2013
Enumeration DateApril 11, 2013
Last NPPES UpdateMarch 19, 2018
✔ NPI 1568805299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AR · E-9954
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4301 W MARKHAM ST, Little Rock, AR 72205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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. Jacob Micah Boydstun D.o. 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 ID1355668310
PECOS Enrollment IDI20170501000863
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
318 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services26 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services14 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
$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
$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.

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.

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
JORDAN ALEECE FLETCHER
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
LUKE WILLIAM GANUCHEAU MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 376-2211

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 Jacob Boydstun's NPI number?

The NPI number for Jacob Boydstun is 1568805299. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Jacob Boydstun located?

Jacob Boydstun practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (432) 770-5923.

What is Jacob Boydstun's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacob Boydstun enrolled in Medicare?

Yes. Jacob Boydstun 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.

What insurance does Jacob Boydstun accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jacob Boydstun 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 Jacob Boydstun was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.