DR. JON RUBENOW (MD) – Addiction Psychiatry Physician, NPI 1013970797

DR. JON RUBENOW (MD) is a healthcare provider. based in Springdale, Arkansas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 29940 (GA). The NPI Number for DR. JON RUBENOW (MD) is 1013970797

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON RUBENOW (MD)
NPI
1013970797
Phone
(479) 750-2742
Address
601 W MAPLE AVE STE 403
Enumeration Date
11 April 2006
Last Update Date
14 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
6507944030
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20100903000319
Address ID
AR722057101LI4301XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

244 PSYCHIATRY in AR

Provider Addresses for DR. JON RUBENOW (MD)

  • 601 W MAPLE AVE STE 403

    SPRINGDALE, AR 727645374

    Phone: (479) 750-2742

    Fax: (479) 750-2781

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100903000319IPsychiatryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 72764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082528955View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. JON RUBENOW (MD) for billing?
Administrative and clinical systems typically use NPI 1013970797 for DR. JON RUBENOW (MD).
Quick check: is DR. JON RUBENOW (MD) active?
Public NPPES data shows DR. JON RUBENOW (MD) with an active NPI status right now.
What services align with DR. JON RUBENOW (MD)'s listing?
DR. JON RUBENOW (MD)'s public classification highlights Addiction Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JON RUBENOW (MD)?
DR. JON RUBENOW (MD) shows a connection to Springdale, Arkansas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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