DUSTIN J TUBRE (MD) – Surgery Physician, NPI 1154705200

DUSTIN J TUBRE (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. TEP7573 (NE). The NPI Number for DUSTIN J TUBRE (MD) is 1154705200

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN J TUBRE (MD)
NPI
1154705200
Phone
Not provided
Address
601 N 30TH ST
Enumeration Date
17 July 2015
Last Update Date
29 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013212229
Graduation Year
2015 (11 years ago)
PAC ID
8820355407
Group Practice PAC ID
3971673716
Professional Enrollment ID
I20220413001113
Address ID
AR719136457HO1XXXXLNXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

147 GENERAL SURGERY in RI

Provider Addresses for DUSTIN J TUBRE (MD)

  • 601 N 30TH ST

    CU DEPT OF SURGERY

    OMAHA, NE 681312128

    Phone:

    Type: Mailing

  • 455 TOLL GATE RD

    WARWICK, RI 028862759

    Phone: (401) 737-7010

    Type: Location

  • 1 MERCY LN STE 201

    HOT SPRINGS, AR 719136457

    Phone: (501) 609-2229

    Fax: (501) 623-0921

    Type: Location

  • PO BOX 21850

    HOT SPRINGS, AR 719031850

    Phone: (318) 235-4543

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $4,566.

Total Amount is formed as General ($4,566) + Research ($0) + Ownership ($0) = $4,566.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,890).

Total Amount

$4,566

General + Research + Ownership

Payments

36

Total payment records

General Amount

$4,566

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

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: 2022-04-13

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
I20220413001113IGeneral SurgeryARTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6933$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5251$0
99202New patient office or other outpatient visit, 15-29 minutes3131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2719$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 68131)

Loading plans...

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: 3971673716View full group profile
NameSpecialtyState
Nurse PractitionerAR
Diagnostic RadiologyAR
Family PracticeAR
Internal Medicine, Pediatric MedicineAR
Physician AssistantAR
-AR
-AR
Internal MedicineAR
Nurse PractitionerAR
Internal MedicineAR

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.

Frequently asked questions

Can I cross-check DUSTIN J TUBRE (MD) using NPI 1154705200?
NPI 1154705200 belongs to DUSTIN J TUBRE (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DUSTIN J TUBRE (MD)?
You should see DUSTIN J TUBRE (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DUSTIN J TUBRE (MD)?
DUSTIN J TUBRE (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Nebraska is DUSTIN J TUBRE (MD) registered?
Use Omaha, Nebraska as the headline location for DUSTIN J TUBRE (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

JOHN FRANCIS O'LEARY (MD)

Surgery Physician
PO BOX 27015
NPI: 1124025754

DR. MICHAEL ZLOMKE (M.D.)

Surgery Physician
Council Bluffs, Pottawattamie County, Iowa, United States
NPI: 1700878220

DR. PATRICK AHRENS (M.D.)

Surgery Physician
Council Bluffs, Pottawattamie County, Iowa, United States
NPI: 1508858028
University of Nebraska Medical Center, South 39th Street, Blackstone, Omaha, Douglas County, Nebraska, 68105, United States
NPI: 1033104120
CHI Health Clinic Plastic & Reconstructive Surgery (CUMC-Bergan Mercy), 7710, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
NPI: 1093703894
7710 MERCY ROAD, SUITE 2000
NPI: 1366429458

ABDALLA E ZARROUG (M.D.)

Pediatric Surgery Physician
8200 DODGE ST
NPI: 1093794653

DR. CHARLES HARDY MOSHER (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Nebraska Methodist Hospital, 8303, Dodge Street, Omaha, Douglas County, Nebraska, 68114, United States
NPI: 1164492997
7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
NPI: 1053382085