DR. PHILLIP G DOERNER III D.O.
NPI 1962864694
Hospitalist in Fayetteville, AR
About Dr. Phillip G Doerner Iii D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILLIP G DOERNER III D.O. (NPI 1962864694) is an individual hospitalist provider in Fayetteville, Arkansas, licensed in Arkansas (E-11424) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
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. Phillip G Doerner Iii D.o. 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 Phillip Doerner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 123 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
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 Phillip Doerner's NPI number?
The NPI number for Phillip Doerner is 1962864694. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Phillip Doerner located?
Phillip Doerner practices at 3215 N Northhills Blvd, Fayetteville, AR 72703. The listed phone number is (479) 463-7102.
What is Phillip Doerner's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Phillip Doerner enrolled in Medicare?
Yes. Phillip Doerner 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 Phillip Doerner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Doerner reassigns Medicare benefits to Washington Regional Medical System (Fayetteville, 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 Phillip Doerner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Phillip Doerner was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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. Phillip G Doerner III, D.O. · NPI 1962864694
Hospitalist physician in Fayetteville, Arkansas. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1962864694 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** E-11424 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3215 N NORTHHILLS BLVD, Fayetteville, AR 72703-4424
- **Phone:** (479) 463-7102 · **Fax:** (479) 463-7864
## 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:** Washington Regional Medical System (NPI 1306801485, Fayetteville, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** September 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962864694) · Data from the CMS NPPES public registry.