DR. DONALD GAULDIN JR. MD
NPI 1871912204
Ophthalmology in Little Rock, AR

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
69.63/100
CMS Quality Rating
10700 N RODNEY PARHAM RD STE C-1A, LITTLE ROCK, AR 72212(501) 830-2020(501) 830-2021 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2022, Aug 17, 2018 (2 updates tracked since 2018).

About Dr. Donald Gauldin Jr. Md NPPES

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

DR. DONALD GAULDIN JR. MD (NPI 1871912204) is an individual ophthalmology provider in Little Rock, Arkansas, licensed in Arkansas (E-15161) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2014).

NPPES Registry Identity

NPI1871912204
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DONALD GAULDIN JR.Credential: MD
Location Address10700 N RODNEY PARHAM RD STE C-1ALittle Rock, AR 72212-4191
Mailing Address3805 W 28th AvePine Bluff, AR 71603-4774 · (870) 536-4100 · Fax (870) 534-3982
Fax(501) 830-2021
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateMarch 18, 20222 updates tracked since enumeration
NPPES CertifiedMarch 18, 2022
NPI 1871912204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in AR · E-15161 Licensed in AL · MD37037
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

10700 N RODNEY PARHAM RD STE C-1A, Little Rock, AR 72212

Secondary Practice Locations 4

Location 19800 Baptist Health Dr Ste 301Little Rock, AR 72205-6230 · Phone (501) 225-4488 · Fax (501) 225-9299
Location 23604 Central Ave Ste AHot Springs, AR 71913-6458 · Phone (501) 318-1111 · Fax (501) 318-1119
Location 3319 Bryant Ave Ste 1Bryant, AR 72022-3817 · Phone (501) 653-2010 · Fax (501) 847-3734
Location 43805 W 28th AvePine Bluff, AR 71603-4774 · Phone (870) 536-4100 · Fax (870) 534-3982

Accepted 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. Donald Gauldin Jr. 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.

PECOS PAC ID7911224258
PECOS Enrollment IDI20220310000229
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 20

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
571 services258 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
451 services265 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
390 services327 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
272 services258 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
249 services249 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
241 services241 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72212 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99
Promoting Interoperability77
Improvement Activities40
Cost18.94

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.

Clinic/Center
10700 N RODNEY PARHAM RD STE C-1A
LITTLE ROCK, AR 72212
Optometrist
10700 N RODNEY PARHAM RD STE C-1A
LITTLE ROCK, AR 72212

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 Donald Gauldin's NPI number?

The NPI number for Donald Gauldin is 1871912204. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Donald Gauldin located?

Donald Gauldin practices at 10700 N Rodney Parham Rd Ste C-1a, Little Rock, AR 72212. The listed phone number is (501) 830-2020.

What is Donald Gauldin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Donald Gauldin enrolled in Medicare?

Yes. Donald Gauldin 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 Donald Gauldin 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 8 other insurers list Donald Gauldin 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 Donald Gauldin was last updated on March 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.