JAMES R STUBBART (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1205823382

JAMES R STUBBART (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301063760 (MI). The NPI Number for JAMES R STUBBART (MD) is 1205823382

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JAMES R STUBBART (MD)
NPI
1205823382
Phone
(616) 459-7101
Address
1111 LEFFINGWELL AVE NE
Enumeration Date
4 October 2005
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
5294770467
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20100806000652
Address ID
MI495463808GR5060XSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,082 ORTHOPEDIC SURGERY in MI

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Provider Addresses for JAMES R STUBBART (MD)

  • 1111, Leffingwell Avenue Northeast, Grand Rapids, Kent County, Michigan, 49525, United States

    SUITE 100

    GRAND RAPIDS, MI 49525

    Phone: (616) 459-7101

    Fax: (616) 464-6170

    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 4 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Medtronic, Inc. ($83).

Total Amount

$98

General + Research + Ownership

Payments

4

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$83
Alvogen Inc$15
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: 2010-08-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100806000652IOrthopedic SurgeryMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4639$0
22614Fusion of additional segment of spine4519$0
99213Established patient office or other outpatient visit, 20-29 minutes4240$0
72100X-ray of lower and sacral spine, 2-3 views4234$0
61783Computer-assisted spinal procedure2020$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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Provider's Procedures

JAMES R STUBBART (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2121
ORTHOPEDIC SURGERYMI63048Partial removal of spine bone with release of spinal cord and/or nerves4021

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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify JAMES R STUBBART (MD) for billing?
Administrative and clinical systems typically use NPI 1205823382 for JAMES R STUBBART (MD).
Is JAMES R STUBBART (MD)'s NPI status active today?
Active status means JAMES R STUBBART (MD)'s NPI record is not deactivated in the public file.
What services align with JAMES R STUBBART (MD)'s listing?
JAMES R STUBBART (MD)'s public classification highlights Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Is JAMES R STUBBART (MD) tied to Grand Rapids, Michigan?
If you are local to Grand Rapids, Michigan, JAMES R STUBBART (MD) may be relevant to your search.
Can I export JAMES R STUBBART (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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