John A Billingsley III, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-44501 Issued in KS

Practice address

2783 N. Shiloh Drive
Fayetteville, AR 72704-6983

Phone

(479) 442-8653

Fax

(479) 442-2678

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, MT, OR3 enrollments

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 3

Specialty

Ophthalmology

Education

Oklahoma State University College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrea V Gray MD PCGroup PAC ID 7810037215, 2 clinicians

Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.billingsley.p2@direct.gvg.nextgenshare.com

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

• Andrea V Gray MD PC

  • Eyewear Supplier
  • Roseburg, OR
  • NPI 1689855967
  Medicare reassignment Care Compare group NPD
• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment Care Compare group NPD
• Siloam Springs Clinic Company LLC

  • Internal Medicine Physician
  • Siloam Springs, AR
  • NPI 1013155431
  Medicare reassignment NPD
• Billingsley Eye Clinic

  • Ophthalmology Physician
  • Siloam Springs, AR
  • NPI 1013189950
  NPD (past) Authorized official
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Billings Clinic

  • Family Medicine Physician
  • Miles City, MT
  • NPI 1427194836
  NPD
• Boozman-Hof Regional Eye Clinic PA

  • Ophthalmology Physician
  • Rogers, AR
  • NPI 1548234669
  NPD (past)

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

• Commonspirit Oregon

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1972569382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 N. SHILOH DRIVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046983",
            "telephone_number": "479-442-8653",
            "fax_number": "479-442-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 N. SHILOH DRIVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046983",
            "telephone_number": "479-442-8653",
            "fax_number": "479-442-2678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Main St",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "KS",
            "postal_code": "671564326",
            "country_code": "US",
            "telephone_number": "620-221-0740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 E 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675021114",
            "country_code": "US",
            "telephone_number": "620-663-7187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-05-13",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E0342",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-44501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201327070A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127773001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Biggs
• Shonna Bilbee, RN
• Bill C.W. Dill III DDS
• Bill Pickard, DDS, Ms, PA
• Kayla Billings
• Robert Earl Billingsley Jr., M. D.
• Melaney Binkley
• Alexandria S. Binkowski, LPC, LPN
• Jessica B Binz, PHARMD, BCACP
• Candy E Birch, M.D.

• Ophthalmology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.