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

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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 and is a graduate of Other (2023).

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
Medical School CMSOtherGraduated 2023
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
Open in Google Maps ↗

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

Dylan George Fedor Do 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 ID8224501069
PECOS Enrollment IDI20260624000917
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 Reassignment

Medicare enrollment records show Dylan Fedor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences
0.3 mi
Primary Care
311 E. MATTHEWS
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 16 clinicians in this Medicare group
NPI 1982684825 (870) 972-9603

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 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
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 336-7973
ELAINE A GILLESPIE M.D.
Family Medicine
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-0063
KELSEY VINSON DO
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-0063
DAMIAN ALLEN M.D.
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-0063
PROF. SULAIMAN S BHARWANI M.D., FAAP, FACG
Pediatrics (Pediatric Gastroenterology)
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 251-8925
JULIAN J AMAYA MD
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-0063
DR. MACIE CAIN MD
Student in an Organized Health Care Education/Training Program
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-0063
MICHAEL RABORN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
311 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 935-4150

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 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.

Where is Dylan Fedor located?

Dylan Fedor practices at 311 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 972-0063.

What is Dylan Fedor's specialty?

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

Is Dylan Fedor enrolled in Medicare?

Yes. Dylan Fedor 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 Dylan Fedor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Fedor reassigns Medicare benefits to University Of Arkansas For Medical Sciences (Jonesboro, 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 Dylan Fedor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Fedor 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 3 other insurers list Dylan Fedor 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 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 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.