MR. JOHN A BILLINGSLEY III M.D.
NPI 1972569382
Ophthalmology in Fayetteville, AR

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.67/100
CMS Quality Rating
2783 N. SHILOH DRIVE, FAYETTEVILLE, AR 72704(479) 442-8653(479) 442-2678 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2024, May 20, 2021 (2 updates tracked since 2021).

About Mr. John A Billingsley Iii M.d. NPPES

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

MR. JOHN A BILLINGSLEY III M.D. (NPI 1972569382) is an individual ophthalmology provider in Fayetteville, Arkansas, licensed in Kansas (04-44501) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972569382
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. JOHN A BILLINGSLEY IIICredential: M.D.
Location Address2783 N. SHILOH DRIVEFayetteville, AR 72704-6983
Mailing Address2783 N. Shiloh DriveFayetteville, AR 72704-6983 · (479) 442-8653 · Fax (479) 442-2678
Fax(479) 442-2678
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1987
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
NPI 1972569382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KS · 04-44501
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.

Also ListedSpecialistTaxonomy 174400000X · License E0342 (AR)
2783 N. SHILOH DRIVE, Fayetteville, AR 72704

Secondary Practice Locations 2

Location 11401 Main StWinfield, KS 67156-4326 · Phone (620) 221-0740
Location 21708 E 23rd AveHutchinson, KS 67502-1114 · Phone (620) 663-7187

Other Identifiers 2

Medicaid201327070AKS
Medicaid127773001AR

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

Mr. John A Billingsley Iii M.d. 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 ID8729066683
PECOS Enrollment IDI20240815003826, I20250226002229
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 13

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.

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.
76 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services40 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
51 services47 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
46 services35 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
36 services27 patients
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.
28 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72704 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.

90.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.9

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
12%217 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%2,744 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 385 patients
81%385 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
7 suppliers15 claims15 services$54.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Billingsley's NPI number?

The NPI number for John Billingsley is 1972569382. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is John Billingsley located?

John Billingsley practices at 2783 N. Shiloh Drive, Fayetteville, AR 72704. The listed phone number is (479) 442-8653.

What is John Billingsley's specialty?

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

Is John Billingsley enrolled in Medicare?

Yes. John Billingsley 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 John Billingsley accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Health Advantage and Octave and 2 other insurers list John Billingsley 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.

Is John Billingsley affiliated with any hospitals?

According to CMS data, John Billingsley is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for John Billingsley was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.