JOHN WESLEY RAYBURN (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1144458852
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
73 PAIN MANAGEMENT in IA
Provider Addresses for JOHN WESLEY RAYBURN (MD)
450 LAUREL ST STE A
DES MOINES, IA 503143045
Phone: (515) 247-8400
Fax: (515) 248-8888
Type: Mailing
710 E 1st St
Ankeny, IA 500212128
Phone: (515) 247-8400
Fax: (515) 248-8888
Type: Location
1121 Jordan Creek Pkwy Ste 180
West Des Moines, IA 502665993
Phone: (515) 247-8400
Fax: (515) 248-8888
Type: Location
450, Laurel Street, Des Moines, Polk County, Iowa, 50314, United States
STE A
DES MOINES, IA 503143045
Phone: (515) 247-8400
Fax: (515) 248-8888
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $3,059.
Total Amount is formed as General ($3,059) + Research ($0) + Ownership ($0) = $3,059.
Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Medtronic, Inc. ($2,803).
Total Amount
$3,059
General + Research + Ownership
Payments
38
Total payment records
General Amount
$3,059
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,803 |
| SI-BONE, INC. | $172 |
| BIOTRONIK NRO, Inc. | $57 |
| Nevro Corp. | $27 |
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: 2015-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150806012113 | I | Physical Medicine And Rehabilitation | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,069 | 169 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,652 | 226 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 220 | 164 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 182 | 146 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 159 | 116 | $0 |
Insurance plans in this area (ZIP 50314)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| P O D I A T R Y | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | MI |
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