JOHN D PEMBERTON D.O. NPI 1528278322

NPI Information

  • NPI: 1528278322
  • Provider Name: JOHN D PEMBERTON, D.O.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4301 W MARKHAM ST # 523
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 686-8000

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NPI Details

John D Pemberton, D.O. is an ophthalmology in Little Rock, AR with 24 years of experience. The provider is 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. John D Pemberton, D.O. NPI is 1528278322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4301 W MARKHAM ST # 523
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-8000
Fax: (501) 526-6780

The NPI 1528278322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Photography of content of eyes (HCPCS:92285)
  • Exam of visual field with limited testing (HCPCS:92081)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Imaging of retina (HCPCS:92134)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Dilation of tear drainage opening (HCPCS:68801)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryE-6864ARKANSASNo
2207W00000XOphthalmologyE-6864ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1186865003MEDICAIDARKANSAS
25AJ89MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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