DR. CLARENCE TUCKER JOUSTRA (DO) – Family Medicine Physician, NPI 1942202080

DR. CLARENCE TUCKER JOUSTRA (DO) is a healthcare provider. based in Lamar, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R9G86 (MO). The NPI Number for DR. CLARENCE TUCKER JOUSTRA (DO) is 1942202080

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARENCE TUCKER JOUSTRA (DO)
NPI
1942202080
Phone
(417) 682-5508
Address
805 GULF ST
Enumeration Date
10 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
4176825508
Graduation Year
1986 (40 years ago)
PAC ID
5193782472
Professional Enrollment ID
I20100301000424
Address ID
MO647591238LA805XXSTXX300
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

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. CLARENCE TUCKER JOUSTRA (DO)

  • 805, Gulf Street, Lamar, Barton County, Missouri, 64759, United States

    LAMAR, MO 647591238

    Phone: (417) 682-5508

    Fax: (417) 682-5594

    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 23 Open Payments records for all available years, with a total value of $451.

Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: PFIZER INC. ($277).

Total Amount

$451

General + Research + Ownership

Payments

23

Total payment records

General Amount

$451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2010-03-01

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
I20100301000424IFamily PracticeMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes873239$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes50761$0
36415Insertion of needle into vein for collection of blood sample316164$0
82947Blood glucose (sugar) level18987$0
83036Hemoglobin a1c level18286$0
View full utilization report →

Insurance plans in this area (ZIP 64759)

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Provider's Procedures

DR. CLARENCE TUCKER JOUSTRA (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO20610Aspiration and/or injection of large joint or joint capsule9247
FAMILY MEDICINEMO83036Hemoglobin A1C level277138
FAMILY MEDICINEMO98926Osteopathic manipulative treatment to 3-4 body regions195109

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CLARENCE TUCKER JOUSTRA (DO)?
DR. CLARENCE TUCKER JOUSTRA (DO) — NPI 1942202080 — is the standard way to identify this listing.
Does CMS list DR. CLARENCE TUCKER JOUSTRA (DO) as active?
Yes — DR. CLARENCE TUCKER JOUSTRA (DO) is active in the NPI listing used on this page.
What taxonomy line describes DR. CLARENCE TUCKER JOUSTRA (DO)?
For research purposes, treat DR. CLARENCE TUCKER JOUSTRA (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CLARENCE TUCKER JOUSTRA (DO) on a map?
Expect Lamar, Missouri as a primary anchor for DR. CLARENCE TUCKER JOUSTRA (DO) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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