DR. ANTHONY RAY JUSTESEN (MD) – Family Medicine Physician, NPI 1639122302
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 UNDERSEA AND HYPERBARIC MEDICINE in KS
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Provider Addresses for DR. ANTHONY RAY JUSTESEN (MD)
20805, West 151st Street, Olathe, Johnson County, Kansas, 66061, United States
SUITE 200
OLATHE, KS 660617249
Phone: (913) 324-8571
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 53 Open Payments records for all available years, with a total value of $1,289.
Total Amount is formed as General ($1,289) + Research ($0) + Ownership ($0) = $1,289.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Smith+Nephew, Inc. ($640).
Total Amount
$1,289
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $640 |
| Organogenesis Inc. | $407 |
| ConvaTec Inc. | $55 |
| Tactile Systems Technology Inc | $48 |
| Molnlycke Health Care US, LLC | $37 |
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: 2007-05-04
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 |
|---|---|---|---|---|
| I20070504000210 | I | Undersea And Hyperbaric Medicine | KS | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 305 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 247 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 55 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 47 | 13 | $0 |
Insurance plans in this area (ZIP 66061)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
Reviews
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