Deactivated NPI 1255912127 Deactivated / Inactive NPI Female Practitioner

Elle Karli Dyson , PA-C

Physician Assistant • Conway, AR

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elle Dyson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 03, 2010

NPI Deactivation Date November 09, 2020

Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Elle Dyson, PA-C was a registered Physician Assistant practicing in Conway, AR. Throughout an active medical career spanning 10 years, Elle Dyson provided care at the practice location at 525 WESTERN AVE STE 305 until profile deactivation on 2020-11-09.

Elle Dyson was affiliated with Conway Regional Medical Center Inc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, tangential biopsy of single skin lesion, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

525 Western Ave Ste 305

Conway, AR 720344982

Telephone 5013586145

Fax 5015046642

Associated Practice Facility / Clinic

🏢 Conway Regional Medical Center, Inc Facility NPI 1003478462

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Conway, AR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +8.7 yrs vs City Avg

City Avg: 7.3 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

22 Specialists

Practicing in Conway, AR (601 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dyson (16 Years) 16 Yrs

Conway Specialty Average (7.3 Years) 7.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	104	$166.00	$51.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	56	$244.00	$75.24
11102 Tangential biopsy of single skin lesion	34	31	$141.85	$28.27
17000 Destruction of skin growth	32	29	$198.00	$41.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$242.00	$62.93
17003 Destruction of precancer skin growth, 2-14 growths	14	14	$21.00	$1.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$369.00	$102.64
11104 Punch biopsy, first skin growth	13	12	$146.31	$34.15
17110 Destruction of up to 14 skin growths	12	12	$399.00	$49.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	607	120	$7.46	$5.01
99213 Established patient office or other outpatient visit, typically 15 minutes	268	217	$105.02	$69.40
17000 Destruction of skin growth	202	169	$75.37	$41.14
11102 Tangential biopsy of single skin lesion	92	85	$114.63	$70.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$132.65	$85.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$65.45	$43.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	35	$148.68	$98.48
11103 Biopsy of related skin growth, each additional growth	40	26	$56.31	$37.68
17110 Destruction of up to 14 skin growths	31	28	$131.40	$83.47
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$169.26	$76.33
11104 Punch biopsy, first skin growth	13	13	$140.23	$93.94
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$91.04	$55.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,600	12	$1.99	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	1,122	180	$7.69	$5.07
99213 Established patient office or other outpatient visit, typically 15 minutes	510	321	$107.85	$69.96
17000 Destruction of skin growth	374	245	$77.94	$40.58
11102 Tangential biopsy of single skin lesion	169	149	$117.27	$71.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	118	$64.30	$43.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$137.58	$86.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	48	$150.38	$99.77
17110 Destruction of up to 14 skin growths	61	48	$129.28	$81.72
11103 Biopsy of related skin growth, each additional growth	47	29	$58.77	$37.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	14	$17.00	$11.03
11104 Punch biopsy, first skin growth	23	22	$142.88	$96.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$227.48	$129.67
69100 Biopsy of ear	19	14	$109.40	$52.39
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	17	$138.58	$87.75
17004 Destruction of precancer skin growth, 15 or more growths	18	13	$190.28	$128.30
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$89.73	$55.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	12	11	$1.45	$1.15
87220 Tissue fungi or parasites	12	11	$10.00	$4.24
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	12	$114.93	$57.86
11900 Injection into skin growth, 1-7 growths	11	11	$64.18	$31.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	671	130	$7.34	$4.96
99213 Established patient office or other outpatient visit, typically 15 minutes	297	206	$107.45	$70.91
17000 Destruction of skin growth	224	168	$75.94	$40.58
11102 Tangential biopsy of single skin lesion	108	98	$119.69	$73.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	69	$64.78	$43.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	37	$152.57	$100.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$134.73	$85.86
11103 Biopsy of related skin growth, each additional growth	35	29	$61.16	$40.21
17110 Destruction of up to 14 skin growths	22	22	$132.45	$81.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$222.44	$124.42
11104 Punch biopsy, first skin growth	16	15	$154.23	$94.13

Medical Specialties & State Licenses

CMS Verified: 2024-07-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AR PA977

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

268244795 (AR)

Hospital & Practice Group Affiliations

Conway Regional Medical Center Inc

525 Western Ave, Conway, AR 720344982

Phone: 5013586145

Conway Regional Medical Center Inc

2302 College Ave, Conway, AR 720346297

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Swetha Boddeda , MD

Internal Medicine - Rheumatology

NPI 1194145185

Doctor of Medicine (M.D.)

Dr. Amr Ismail , MD

Internal Medicine - Critical Care Medicine

NPI 1326493099

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location July 10, 2024

Registered at 525 WESTERN AVE STE 305, CONWAY, AR 720344982 (Tel: 5013586145)

📍

Updated Business Mailing Address July 10, 2024

Registered at 525 WESTERN AVE STE 305, CONWAY, AR 720344982 (Tel: 5013586145)

👤

Provider Name / Credentials Updated December 11, 2023

Recorded as ELLE DYSON, P.A.-C

📍

Updated Practice Location July 05, 2022

Registered at 9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 722056375 (Tel: 5019757455)

✅

NPI Profile Active April 28, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2021

Registered at 4261 STOCKTON DR, NORTH LITTLE ROCK, AR 721172916 (Tel: 5017917546)

📍

Updated Business Mailing Address April 28, 2021

Registered at P.O. BOX 94532, NORTH LITTLE ROCK, AR 72190 (Tel: 5017650262)

👤

Provider Name / Credentials Updated April 28, 2021

Recorded as LIZABETH ANDREWS, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2021

Physician Assistant (License #PA977 in AR)

🔄

NPI Profile Reactivated April 20, 2021

Record officially reactivated for active practice on April 20, 2021

⚠️

NPI Profile Deactivated November 09, 2020

Record deactivated on November 09, 2020

🟢

Initial NPI Registration & Enumeration September 03, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255912127

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 03, 2010

Last Update: July 10, 2024

Deactivation Date: November 09, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

525 Western Ave Ste 305

Conway, AR 720344982

Phone: 5013586145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.