DR. THOMAS TERRYL JEFFERSON MD
NPI 1790891448
General Practice in Little Rock, AR
About Dr. Thomas Terryl Jefferson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS TERRYL JEFFERSON MD (NPI 1790891448) is an individual general practice provider in Little Rock, Arkansas, licensed in Arkansas (C4604) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Thomas Terryl Jefferson Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Jefferson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72207
- Reassigned Medicare billing, Arkansas enrollment
- 58 clinicians in this Medicare group
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
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72207
LITTLE ROCK, AR 72207
LITTLE ROCK, AR 72207
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 Thomas Jefferson's NPI number?
The NPI number for Thomas Jefferson is 1790891448. It was assigned to this individual provider in the NPPES registry on August 22, 2006.
Where is Thomas Jefferson located?
Thomas Jefferson practices at 1100 N University Ave Ste 200, Little Rock, AR 72207. The listed phone number is (888) 710-8220.
What is Thomas Jefferson's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Thomas Jefferson enrolled in Medicare?
Yes. Thomas Jefferson 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 organization bills Medicare for Thomas Jefferson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Jefferson reassigns Medicare benefits to Healthy Connections Incorporated (Little Rock, AR). The 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 Thomas Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Jefferson accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thomas Jefferson 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 Thomas Jefferson was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Thomas Terryl Jefferson, MD · NPI 1790891448
General Practice physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1790891448 (Entity type: Individual)
- **Enumerated:** August 22, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** C4604 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 N UNIVERSITY AVE STE 200, Little Rock, AR 72207-6360
- **Phone:** (888) 710-8220 · **Fax:** (866) 573-0761
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthy Connections Incorporated (NPI 1104466671, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 1972
## Record status
- **NPPES last updated:** June 26, 2025
- **Other identifiers:** Medicaid 104422001 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1790891448) · Data from the CMS NPPES public registry.