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JACOB PERRY D.O.
NPI 1609210095
Anesthesiology in Conway, AR

Active since April 29, 2013PECOS EnrolledAccepts Medicare Assignment
1555 EXCHANGE AVE, CONWAY, AR 72032(501) 202-2093(501) 202-6316 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2022, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Jacob Perry D.o. NPPES

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

JACOB PERRY D.O. (NPI 1609210095) is an individual anesthesiology provider in Conway, Arkansas, licensed in Arkansas (E-10390) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (2013).

NPPES Registry Identity

NPI1609210095
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACOB PERRYCredential: D.O.
Location Address1555 EXCHANGE AVEConway, AR 72032-7824
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 202-2093 · Fax (501) 202-6316
Phone(501) 202-2093
Fax(501) 202-6316
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2013
Enumeration DateApril 29, 2013
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1609210095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in AR · E-10390
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1555 EXCHANGE AVE, Conway, AR 72032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.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

Jacob Perry 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 ID6507168069
PECOS Enrollment IDI20170605002152
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 Reassignments

2

Medicare enrollment records show Jacob Perry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Health Group
22 mi
Anesthesiology
9601 BAPTIST HEALTH DR
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 253 clinicians in this Medicare group
NPI 1508800962 (501) 202-2093
Premier Anesthesia Of Arkansas Professional Corporation
122 mi
Anesthesiology
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 185 clinicians in this Medicare group
NPI 1932519485 (404) 941-1210

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 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.

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
19 services18 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
17 services17 patients

Other Providers at the Same Location NPPES 16

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

HUNTER RENNIE DO
Emergency Medicine
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 585-2400
JAMES SMITH MD
Internal Medicine
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 851-7402
LANCE KENNEDY HARRIS PA-C
Physician Assistant
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 585-2400
MR. MATTHEW BRISTER
Nurse Practitioner (Family)
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (713) 793-4603
CONWAY COMMUNITY SERVICES
Radiology (Diagnostic Radiology)
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 585-2000
DR. JORDAN HUNTER WHITE M.D.
Emergency Medicine
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 202-4335
WHITNEY BIRCH CRNA
Nurse Anesthetist, Certified Registered
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 202-2093
MUHAMMAD ARQAM IQBAL GORAYA MD
Internal Medicine
1555 EXCHANGE AVE
CONWAY, AR 72032
Faulkner County (501) 851-7402

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 Perry's NPI number?

The NPI number for Jacob Perry is 1609210095. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Jacob Perry located?

Jacob Perry practices at 1555 Exchange Ave, Conway, AR 72032. The listed phone number is (501) 202-2093.

What is Jacob Perry's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacob Perry enrolled in Medicare?

Yes. Jacob Perry 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 Jacob Perry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Perry reassigns Medicare benefits to 2 organizations: Arkansas Health Group (Little Rock, AR) and Premier Anesthesia Of Arkansas Professional Corporation (Fayetteville, 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 Jacob Perry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Perry accept?

Health plans from Health Advantage and Octave list Jacob Perry 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 Perry was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.