Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DYLAN GEORGE FEDOR DO
NPI 1942905443
Family Medicine in Jonesboro, AR

Q: What is Dylan Fedor's NPI number?

The NPI number for Dylan Fedor is 1942905443. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Dylan Fedor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dylan Fedor was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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 03, 2023PECOS Enrolled

311 E MATTHEWS AVE, JONESBORO, AR 72401(870) 972-0063(870) 930-2914 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dylan George Fedor Do NPPES

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

DYLAN GEORGE FEDOR DO (NPI 1942905443) is an individual family medicine provider in Jonesboro, Arkansas, licensed in Arkansas (E-19504) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942905443

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDYLAN GEORGE FEDORCredential: DO

Location Address311 E MATTHEWS AVEJonesboro, AR 72401-3125

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(870) 972-0063

Fax(870) 930-2914

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1942905443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E-19504

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

311 E MATTHEWS AVE, Jonesboro, AR 72401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan George Fedor Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72401 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 20

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

DR. CHARLES SARPONG MD

Student in an Organized Health Care Education/Training Program