DR. LUCAS SAMUEL TEBBE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1417519257
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
Loading map...
Provider Addresses for DR. LUCAS SAMUEL TEBBE (DPM)
11331 N STATE HIGHWAY V
WALNUT GROVE, MO 657708412
Phone: (417) 988-9289
Type: Mailing
Truman Medical Center Lakewood, 7900, Lee's Summit Road, Kansas City, Jackson County, Missouri, 64139, United States
KANSAS CITY, MO 641391236
Phone: (816) 404-9597
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Smith+Nephew, Inc. ($39).
Total Amount
$285
General + Research + Ownership
Payments
17
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $39 |
| DJO, LLC | $34 |
| ConvaTec Inc. | $30 |
| Titan Surgical Group, Llc | $28 |
| DePuy Synthes Sales Inc. | $24 |
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: 2022-07-07
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 |
|---|---|---|---|---|
| I20220707003071 | I | Podiatry | MO | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 159 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 58 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 70 | 61 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 40 | 27 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 30 | 23 | $0 |
Insurance plans in this area (ZIP 65770)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MO | |
| P O D I A T R Y | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.