DR. JOHN H III HULSEN (MD) – Plastic Surgery Physician, NPI 1164738555

DR. JOHN H III HULSEN (MD) is a healthcare provider. based in Leawood, Kansas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 2017018138 (MO). The NPI Number for DR. JOHN H III HULSEN (MD) is 1164738555

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN H III HULSEN (MD)
NPI
1164738555
Phone
(913) 451-3722
Address
11501 GRANADA ST
Enumeration Date
24 August 2010
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3142056420
Graduation Year
2010 (16 years ago)
PAC ID
7911130737
Group Practice PAC ID
6608001573
Professional Enrollment ID
I20200214002009
Address ID
MO630173509CH111XXDRXX507
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

76 PLASTIC AND RECONSTRUCTIVE SURGERY in KS

Provider Addresses for DR. JOHN H III HULSEN (MD)

  • 11501 GRANADA ST

    LEAWOOD, KS 662111454

    Phone: (913) 451-3722

    Fax: (913) 451-5000

    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 8 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: RTI SURGICAL, INC ($62).

Total Amount

$162

General + Research + Ownership

Payments

8

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2020-02-14

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
I20200214002009IPlastic And Reconstructive SurgeryMOTBD

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
99202New patient office or other outpatient visit, 15-29 minutes3131$0
99212Established patient office or other outpatient visit, 10-19 minutes2221$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
15004Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less1312$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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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: 6608001573View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryMO

Reviews

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Frequently asked questions

Where can patients find DR. JOHN H III HULSEN (MD)'s NPI?
You can confirm DR. JOHN H III HULSEN (MD) with NPI 1164738555; it appears in the national provider directory.
Is DR. JOHN H III HULSEN (MD)'s NPI currently valid?
The extract we use shows DR. JOHN H III HULSEN (MD) as active.
What does DR. JOHN H III HULSEN (MD) treat or focus on?
Patients typically see DR. JOHN H III HULSEN (MD) under the specialty Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN H III HULSEN (MD) practice in Kansas?
You will see Leawood, Kansas on file for DR. JOHN H III HULSEN (MD) alongside any extra practice locations.
What if Leawood, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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