Individual provider Active NPI

Maria Igorevna Lyuksyutova-Price, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mountain Home, AR
National Provider Identifier
1689237430
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
E-17864 Issued in AR
Practice address
250 Bucher Dr
Mountain Home, AR 72653-3400
Phone
(479) 323-0557
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X E-17864 AR Primary

Addresses

Primary practice location

250 Bucher Dr
Mountain Home, AR 72653-3400

Mailing address

250 Bucher Dr
Mountain Home, AR 72653-3400
Phone (479) 323-0557

Other names 1

  • Maria Igorevna Lyuksyutova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000747 AR Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0749643153 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain Management Associates PLLCGroup PAC ID 3779718614, 8 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

114 E Crandall Ave
Suite a
Harrison, AR 72601-3628
Phone (870) 365-0130

17 Medical PLZ
Mountain Home, AR 72653-2918
Phone (870) 508-5900

250 Bucher Dr
Mountain Home, AR 72653-3400
Phone (479) 323-0557

4318 Hwy 65 S
Harrison, AR 72601-9487
Phone (844) 215-0731

620 N Main St
Suite 2B
Harrison, AR 72601-2911
Phone (870) 414-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Management Associates PLLC CurrentSince Jun 4, 2024 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 1, 2024 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Feb 16, 2026 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 1, 2024 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Feb 16, 2026 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients

Locations

114 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 365-0003

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Ste 2A
Harrison, AR 72601
Phone (870) 414-4599

4318 Highway 65 S
Harrison, AR 72601
Phone (870) 414-4040

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

250 Bucher Dr
Mountain Home, AR 72653
Phone (479) 323-0557

17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212

1402 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-3717

Interoperability endpoints

  • Direct secure messaging: mlyuksyutova83042@direct.phhs.org
  • Direct secure messaging: maria.price@bhcawp.eclinicaldirectplus.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1689237430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BUCHER DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "479-323-0557",
            "fax_number": "870-706-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BUCHER DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "479-323-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYUKSYUTOVA-PRICE",
        "first_name": "MARIA",
        "middle_name": "IGOREVNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AR",
            "license": "E-17864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LYUKSYUTOVA",
            "middle_name": "IGOREVNA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.