JESSE BASHOR (DO) – Internal Medicine Physician, NPI 1063161339

JESSE BASHOR (DO) is a healthcare provider. based in Overland park, Kansas. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 05-51381 (KS). The NPI Number for JESSE BASHOR (DO) is 1063161339

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSE BASHOR (DO)
NPI
1063161339
Phone
(913) 541-5000
Address
10500 Quivira Rd
Enumeration Date
22 March 2022
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
9135413340
Graduation Year
2022 (4 years ago)
PAC ID
8527449727
Group Practice PAC ID
1355392457
Professional Enrollment ID
I20250714004058
Address ID
KS662152320OV10601RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,289 INTERNAL MEDICINE in KS

Provider Addresses for JESSE BASHOR (DO)

  • 10500 Quivira Rd

    Overland Park, KS 662152373

    Phone: (913) 541-5000

    Fax: (913) 541-5625

    Type: Location

  • 12200 W 106TH ST STE 325

    OVERLAND PARK, KS 662152305

    Phone: (913) 498-7004

    Fax: (913) 498-6708

    Type: Mailing

  • 10500 QUIVIRA RD

    OVERLAND PARK, KS 662152373

    Phone: (913) 541-5000

    Fax: (913) 541-5625

    Type: Location

  • 10601 QUIVIRA RD STE 200

    OVERLAND PARK, KS 662152320

    Phone: (913) 541-3340

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($126).

Total Amount

$338

General + Research + Ownership

Payments

7

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2025-07-14

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
I20250714004058IInternal MedicineKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66215)

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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: 1355392457View full group profile
NameSpecialtyState
Internal MedicineKS
Internal MedicineKS
Physician AssistantMO
Internal MedicineKS
Internal MedicineMO
Internal MedicineKS
Physician AssistantKS
Nurse PractitionerKS
Internal MedicineTN
Internal MedicineKS

Reviews

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Frequently asked questions

How do payers reference JESSE BASHOR (DO)?
For JESSE BASHOR (DO), use NPI 1063161339 as the unique 10-digit identifier.
Is there an active status for JESSE BASHOR (DO)?
For scheduling context, JESSE BASHOR (DO) is shown as active in the registry.
What area of care is associated with JESSE BASHOR (DO)?
JESSE BASHOR (DO)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JESSE BASHOR (DO) associated with Overland Park?
Public fields place JESSE BASHOR (DO) around Overland Park, Kansas. Always confirm the exact site before visiting.
Does JESSE BASHOR (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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