Jonathan Dale Edward Creech

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NPI Number Detailed Information

Provider Information:

Name:	Jonathan Dale Edward Creech
Gender:	M
Provider License Number If Given:

NPI Information:

NPI:	1922495779
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	4/20/2015
Last Update Date:	5/30/2023

Provider Business Mailing Address:

Address:	3317 N WIMBERLY DR Fayetteville, AR 72703
Phone Number:	4795212752
Fax Number:	4795214603

Provider Business Practice Location Address:

Address:	3317 N WIMBERLY DR Fayetteville, AR 72703
Phone Number:	4795212752
Fax Number:	4795214603

Provider Taxonomy:

Primary:	390200000X
Secondary (if any):	207XS0114X
State:	AR

Top Doctors in AR

About Jonathan Dale Edward Creech

Jonathan Dale Edward Creech ( JONATHAN DALE EDWARD CREECH ) is An Student in an Organized Health Care Education/Training Program Physician in Fayetteville, AR. The NPI Number for Jonathan Dale Edward Creech is 1922495779.

The current location address for Jonathan Dale Edward Creech is 3317 N WIMBERLY DR Fayetteville, AR 72703 and the contact number is 4795212752 and fax number is 4795214603. The mailing address for Jonathan Dale Edward Creech is 3317 N WIMBERLY DR Fayetteville, AR 72703- 4795212752 (mailing address contact number - 4795212752).

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jonathan Dale Edward Creech ?

Answer: The NPI Number for Jonathan Dale Edward Creech is 1922495779

Where is Jonathan Dale Edward Creech located?

Answer: Jonathan Dale Edward Creech is located at 3317 N WIMBERLY DR Fayetteville, AR 72703.

What is the specialty for Jonathan Dale Edward Creech ?

Answer: The Specialty of Jonathan Dale Edward Creech is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Jonathan Dale Edward Creech ?

Answer: Not yet!

Are there any other health care providers in Fayetteville, AR?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jonathan Dale Edward Creech

Number of HCPCS	57
Number of Medicare Beneficiaries	255
Number of Services	559
Total Submitted Charge Amount	309856.46
Total Medicare Allowed Amount	95018.35
Total Medicare Payment Amount	74789.03
Total Medicare Standardized Payment Amount	82341.65
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	2
Number of Medicare Beneficiaries With Drug Services	17
Number of Drug Services	21
Total Drug Submitted Charge Amount	540
Total Drug Medicare Allowed Amount	176.69
Total Drug Medicare Payment Amount	141.33
Total Drug Medicare Standardized Payment Amount	138.49
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	55
Number of Medicare Beneficiaries With Medical	255
Number of Medical Services	538
Total Medical Submitted Charge Amount	309316.46
Total Medical Medicare Allowed Amount	94841.66
Total Medical Medicare Payment Amount	74647.7
Total Medical Medicare Standardized Payment Amount	82203.16
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	19
Number of Beneficiaries Age 65 to 74	124
Number of Beneficiaries Age 75 to 84	74
Number of Beneficiaries Age Greater 84	38
Number of Female Beneficiaries	176
Number of Male Beneficiaries	79
Number of Non-Hispanic White Beneficiaries	239
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	25
Number of Beneficiaries With Medicare Only Entitlement	230
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.15
Percent (%) of Beneficiaries Identified With Asthma	0.09
Percent (%) of Beneficiaries Identified With Cancer	0.11
Percent (%) of Beneficiaries Identified With Heart Failure	0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.17
Percent (%) of Beneficiaries Identified With Depression	0.33
Percent (%) of Beneficiaries Identified With Diabetes	0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.58
Percent (%) of Beneficiaries Identified With Hypertension	0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.3
Percent (%) of Beneficiaries Identified With Osteoporosis	0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.05
Average HCC Risk Score of Beneficiaries	1.1924

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Orthopedic Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	185
Number of Standardized 30-Day Fills	206
Aggregate Cost Paid for All Claims	2340.14
Number of Day's Supply for All Claims	4141
Number of Medicare Beneficiaries	76
Number of Claims, Including Refills, for Beneficiaries Age 65+	157
Including Refills, for Beneficiaries Age 65+	178
Beneficiaries Age 65+	2055.03
Number of Day's Supply for All Claims for Beneficaries Age 65+	3745
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	184
Aggregate Cost Paid for Generic Drugs	2252.3
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	91
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	962.59
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	94
Aggregate Cost Paid for Claims Filled by	1377.55
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	34
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	354.34
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	151
by Low-Income Subsidy	1985.8
Total Claims of Opioid Drugs, Including	50
Aggregate Cost Paid for Opioid Drugs	276.67
Opioid Claims	30
Opioid_Tot_Clms divided by the Tot_Clms	27.027027027
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	70.342105263
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	43
Number of Male Beneficiaries	33
Number of Non-Hispanic White	72
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement	64
Average Hierarchical Condition Category	1.0525131579

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