Doctor profile · Federal record
Dr. Jay Kincannon, MD
Pediatric Dermatology Physician (CMS: Dermatology) · Little Rock, AR
- NPI 1184711236
- Accepts Medicare
- 41 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1 Childrens Way # 653
Little Rock, AR 722023500
(501) 364-1100
fax (501) 526-5148
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- March 17, 2011
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 207NP0225X — NUCC code
- State license (1)
- Arkansas #C-6844
- Medicaid
- AR #119266001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184711236. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
323
Distinct HCPCS
5
Medicare allowed
$11,225
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 147 | 30 | $2 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 70 | 65 | $60 | |
17000 |
Destruction of precancer skin growth, 1 growth | 46 | 44 | $43 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 38 | 28 | $90 | |
17110 |
Destruction of skin growth, 1-14 growths | 22 | 22 | $60 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 64. This provider delivers 5.0× the peer median.Frequently asked questions
What is Dr. Jay Kincannon's medical specialty?
Dr. Jay Kincannon practices Pediatric Dermatology Physician in Little Rock, AR.
Where does Dr. Jay Kincannon practice?
Dr. Jay Kincannon practices at 1 Childrens Way # 653, Little Rock, AR 722023500. Office phone: 5013641100.
What is Dr. Jay Kincannon's NPI?
Dr. Jay Kincannon's National Provider Identifier (NPI) is 1184711236, issued by NPPES.
Does Dr. Jay Kincannon accept Medicare assignment?
Yes. Dr. Jay Kincannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jay Kincannon commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.