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DR. ROBERT TYRAY JIMMERSON II M.D.
NPI 1619046679
Family Medicine in Little Rock, AR

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
500 S UNIVERSITY AVE, SUITE 515, LITTLE ROCK, AR 72205(501) 569-9961(501) 400-8649 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Tyray Jimmerson Ii M.d. NPPES

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

DR. ROBERT TYRAY JIMMERSON II M.D. (NPI 1619046679) is an individual family medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-1845) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1995).

NPPES Registry Identity

NPI1619046679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT TYRAY JIMMERSON IICredential: M.D.
Location Address500 S UNIVERSITY AVE, SUITE 515Little Rock, AR 72205-5306
Mailing Address500 S University Ave, Suite 515Little Rock, AR 72205-5306 · (501) 569-9961 · Fax (501) 400-8649
Phone(501) 569-9961
Fax(501) 400-8649
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1995
Enumeration DateNovember 6, 2006
Last NPPES UpdateJune 27, 2014
✔ NPI 1619046679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-1845
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

500 S UNIVERSITY AVE, Little Rock, AR 72205
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Other Identifiers 8

Medicare PIN5K890AR
Other18321000000Qual Choice
Other2451550Aetna
Other2717169Cigna
Medicaid135241001AR
Medicare UPING76651AR
Other080158974AR · Palmettogba
Other5K890AR · Bcbs

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

Dr. Robert Tyray Jimmerson Ii M.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 ID3577586023
PECOS Enrollment IDI20060110001108
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, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
186 services74 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
14 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
$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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers28 claims82 services$6.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims26 services$1.10 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.

KRISTI M HAWKINS M.D.
Pediatrics
500 S UNIVERSITY AVE, STE 200
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4117
DR. RICHARD D JOHNS MD
Internal Medicine
500 S UNIVERSITY AVE, SUITE 615
LITTLE ROCK, AR 72205
Pulaski County (501) 666-3666
ROBERT D DALBY M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
DON A FROST M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
BRIAN W ALEXANDER M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
TIMOTHY R DILES M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
GEORGE A NORTON MD
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 664-3914
RANDALL S MIDDAUGH M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532

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 Robert Jimmerson's NPI number?

The NPI number for Robert Jimmerson is 1619046679. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Robert Jimmerson located?

Robert Jimmerson practices at 500 S University Ave Suite 515, Little Rock, AR 72205. The listed phone number is (501) 569-9961.

What is Robert Jimmerson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Jimmerson enrolled in Medicare?

Yes. Robert Jimmerson 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 Robert Jimmerson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Robert Jimmerson 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 Robert Jimmerson was last updated on June 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.