Doctor profile · Federal record
Dr. MARK MIEDEMA, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician (CMS: PHYSICAL MEDICINE AND REHABILITATION) · Physical Medicine & Rehabilitation Physician · Family Medicine Physician · Pain Medicine (Physical Medicine & Rehabilitation) Physician · FAYETTEVILLE, AR
- NPI 1205063211
- Accepts Medicare
- 17 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3317 N WIMBERLY DR
FAYETTEVILLE, AR 727034056
(479) 521-2752
fax (479) 443-7862 - Additional location
-
1800 SE Moberly Ln
Bentonville, AR 727127017
fax (479) 521-4603
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- March 19, 2025
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 2081P2900X — NUCC code
- State licenses (3)
- Arkansas #E-9691 · Florida #13487 · Colorado #49437
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205063211. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,474
Distinct HCPCS
10
Medicare allowed
$365,610
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
64483 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 476 | 322 | $126 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 448 | 301 | $81 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 234 | 234 | $150 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 223 | 114 | $112 | |
64484 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 211 | 148 | $48 | |
72148 |
Mri scan of lower spinal canal without contrast | 198 | 196 | $111 | |
95886 |
Needle measurement of electrical activity in arm or leg muscles, complete study | 177 | 115 | $88 | |
72110 |
X-ray of lower and sacral spine, minimum of 4 views | 173 | 170 | $39 | |
63650 |
Insertion of spinal neurostimulator electrode array through skin | 150 | 50 | $287 | |
64493 |
Injection of lower or sacral spine facet joint using imaging guidance, single level | 130 | 79 | $112 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 106. This provider delivers 33× the peer median.Open Payments
Industry payments received
All-time total
$2,707
Transactions
62
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 50 | $2,194.59 | |
| Boston Scientific Corporation | 3 | $258.75 | |
| Saluda Medical Americas, Inc. | 3 | $127.52 | |
| Medtronic, Inc. | 3 | $56.65 | |
| DJO, LLC | 1 | $28.81 | |
| SPR Therapeutics, Inc | 1 | $22.58 | |
| SI-BONE, INC. | 1 | $18.13 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,309
Patients
549
Total drug cost
$48,015
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 724 | 154 | $19,007 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 323 | 58 | $10,237 |
| Tramadol Hcl | Generic | 275 | 72 | $1,998 |
| Gabapentin | Generic | 248 | 77 | $2,749 |
| Oxycodone Hcl | Generic | 238 | 41 | $4,763 |
| Baclofen | Generic | 133 | 60 | $1,729 |
| Pregabalin | Generic | 59 | 16 | $1,051 |
| Cephalexin | Generic | 58 | 55 | $398 |
| Cyclobenzaprine Hcl | Generic | 52 | 0 | $513 |
| Morphine Sulfate Er (Morphine Sulfate) | Brand | 48 | 0 | $1,774 |