DUSTIN DEGRAFFENREID – Physical Therapist, NPI 1306523865

DUSTIN DEGRAFFENREID is a healthcare provider. based in Prairie village, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for DUSTIN DEGRAFFENREID is 1306523865

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN DEGRAFFENREID
NPI
1306523865
Phone
(913) 224-2990
Address
5200 W 94TH TER STE 112
Enumeration Date
28 June 2023
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132242990
Graduation Year
2022 (4 years ago)
PAC ID
0446610547
Group Practice PAC ID
4587085576
Professional Enrollment ID
I20230721000146
Address ID
KS662072534PR5200XTERX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for DUSTIN DEGRAFFENREID

  • 5200 W 94TH TER STE 112

    PRAIRIE VILLAGE, KS 662072534

    Phone: (913) 224-2990

    Fax: (913) 224-2992

    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: 2023-07-21

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
I20230721000146IPhysical Therapist In Private PracticeKSTBD

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
97530Therapy procedure using functional activities14412$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12711$0
View full utilization report →

Insurance plans in this area (ZIP 66207)

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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: 4587085576View full group profile
NameSpecialtyState
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Is there an official ID for DUSTIN DEGRAFFENREID in U.S. healthcare records?
The official identifier for DUSTIN DEGRAFFENREID is NPI 1306523865.
Is DUSTIN DEGRAFFENREID still an active registrant?
DUSTIN DEGRAFFENREID carries an active NPI according to the public dataset.
What kind of doctor is DUSTIN DEGRAFFENREID?
DUSTIN DEGRAFFENREID is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DUSTIN DEGRAFFENREID?
Travel planning: use Prairie Village, Kansas as the reference point for DUSTIN DEGRAFFENREID, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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