JACK W JR. TUBBS (M.D.) – Obstetrics & Gynecology Physician, NPI 1669471538

JACK W JR. TUBBS (M.D.) is a healthcare provider. based in Colorado springs, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 17891 (OK). The NPI Number for JACK W JR. TUBBS (M.D.) is 1669471538

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
JACK W JR. TUBBS (M.D.)
NPI
1669471538
Phone
(719) 596-3344
Address
8580 SCARBOROUGH DR STE 100
Enumeration Date
21 July 2005
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
7196672344
Graduation Year
1986 (40 years ago)
PAC ID
4082795349
Group Practice PAC ID
4981596442
Professional Enrollment ID
I20110629000196
Address ID
CO809207583CO8580XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

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Provider Addresses for JACK W JR. TUBBS (M.D.)

  • Scarborough Drive, Fairfax, Colorado Springs, El Paso County, Colorado, 80923, United States

    COLORADO SPRINGS, CO 809207583

    Phone: (719) 596-3344

    Fax: (719) 632-6118

    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)

CMS reports 64 Open Payments records for all available years, with a total value of $1,532.

Total Amount is formed as General ($1,532) + Research ($0) + Ownership ($0) = $1,532.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($330).

Total Amount

$1,532

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-06-29

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
I20110629000196IObstetrics/GynecologyCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7353$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
99213Established patient office or other outpatient visit, 20-29 minutes4034$0
96127Assessment of emotional or behavioral problems3636$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina3126$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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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: 4981596442View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

How is JACK W JR. TUBBS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JACK W JR. TUBBS (M.D.) with NPI 1669471538.
Can I rely on JACK W JR. TUBBS (M.D.) being an active provider?
As of the registry snapshot, JACK W JR. TUBBS (M.D.) is marked active.
What is JACK W JR. TUBBS (M.D.)'s specialty?
The listing groups JACK W JR. TUBBS (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does JACK W JR. TUBBS (M.D.) list a practice location?
Patients near Colorado Springs, Colorado may find JACK W JR. TUBBS (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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