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DR. SHAWN JAMES CONES M.D.
NPI 1760699938
Family Medicine in Little Rock, AR

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
1100 N UNIVERSITY AVE STE 47, LITTLE ROCK, AR 72207(501) 904-3146(501) 232-4251 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shawn James Cones M.d. NPPES

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

DR. SHAWN JAMES CONES M.D. (NPI 1760699938) is an individual family medicine provider in Little Rock, Arkansas, licensed in Arkansas (E5860) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2006).

NPPES Registry Identity

NPI1760699938
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAWN JAMES CONESCredential: M.D.
Location Address1100 N UNIVERSITY AVE STE 47Little Rock, AR 72207-6300
Mailing Address1100 N University Ave Ste 47Little Rock, AR 72207-6300 · (501) 904-3146 · Fax (501) 232-4251
Phone(501) 904-3146
Fax(501) 232-4251
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2006
Enumeration DateMay 17, 2007
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1760699938 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 · E5860
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.
1100 N UNIVERSITY AVE STE 47, Little Rock, AR 72207
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Other Identifiers 1

Medicaid179101001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Dr. Shawn James Cones 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 ID4183760382
PECOS Enrollment IDI20231214002856
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 Shawn Cones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shawn Cones, M.D., PLLC, PA
Same address
Primary Care
1100 N UNIVERSITY AVE STE 47
Little Rock, AR 72207
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1841593555 (501) 904-3146
Board Of Governors Of Dallas County Medical Center
66 mi
Critical Access
201 NORTH CLIFTON STREET
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 17 clinicians in this Medicare group
NPI 1306826029 (870) 352-6363

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72207 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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$899.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 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 2

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

SHAWN CONES, M.D., PLLC, PA
Family Medicine
1100 N UNIVERSITY AVE STE 47
LITTLE ROCK, AR 72207
Pulaski County (501) 904-3146
SHAWN CONES, M.D., PLLC, PA
Clinic/Center (Primary Care)
1100 N UNIVERSITY AVE STE 47
LITTLE ROCK, AR 72207
Pulaski County (501) 904-3146

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 Shawn Cones's NPI number?

The NPI number for Shawn Cones is 1760699938. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Shawn Cones located?

Shawn Cones practices at 1100 N University Ave Ste 47, Little Rock, AR 72207. The listed phone number is (501) 904-3146.

What is Shawn Cones's specialty?

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

Is Shawn Cones enrolled in Medicare?

Yes. Shawn Cones 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 Shawn Cones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Cones reassigns Medicare benefits to 2 organizations: Shawn Cones, M.D., PLLC, PA (Little Rock, AR) and Board Of Governors Of Dallas County Medical Center (Fordyce, 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 Shawn Cones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Cones accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Shawn Cones 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 Shawn Cones was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.