ETHAN GILLETT M.D.
NPI 1629432745
Pediatrics in Little Rock, AR

Q: What is Ethan Gillett's NPI number?

The NPI number for Ethan Gillett is 1629432745. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Ethan Gillett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Gillett was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 April 06, 2016PECOS EnrolledAccepts Medicare Assignment

1 CHILDRENS WAY # 512-16, LITTLE ROCK, AR 72202(501) 364-1874(501) 364-3196 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ethan Gillett M.d. NPPES

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

ETHAN GILLETT M.D. (NPI 1629432745) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (E-12341) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2016).

NPPES Registry Identity

NPI1629432745

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameETHAN GILLETTCredential: M.D.

Location Address1 CHILDRENS WAY # 512-16Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1874

Fax(501) 364-3196

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2016

Enumeration DateApril 6, 2016

Last NPPES UpdateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1629432745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · E-12341

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 CHILDRENS WAY # 512-16, Little Rock, AR 72202

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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

Ethan Gillett 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 ID3870885809

PECOS Enrollment IDI20191003002504

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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.

Other Providers at the Same Location NPPES 12

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

AMBER MICHELE MORSE M.D.

Pediatrics (Pediatric Emergency Medicine)