JACKSON WESLEY KUBE (OD) – Optometrist, NPI 1255958070

JACKSON WESLEY KUBE (OD) is a healthcare provider. based in Norfolk, Nebraska. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1511 (NE). The NPI Number for JACKSON WESLEY KUBE (OD) is 1255958070

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JACKSON WESLEY KUBE (OD)
NPI
1255958070
Phone
(402) 371-8535
Address
2800 W NORFOLK AVE
Enumeration Date
27 June 2020
Last Update Date
27 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
4023718535
Graduation Year
2020 (6 years ago)
PAC ID
3476971458
Group Practice PAC ID
9739135401
Professional Enrollment ID
I20200814001752
Address ID
NE687014415NO2900XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

338 OPTOMETRY in NE

Provider Addresses for JACKSON WESLEY KUBE (OD)

  • 2800 W NORFOLK AVE

    NORFOLK, NE 687014402

    Phone: (402) 371-8535

    Type: Location

  • 900 BLUE STEM CIR

    NORFOLK, NE 687010839

    Phone: (402) 841-8311

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,778.

Total Amount is formed as General ($1,778) + Research ($0) + Ownership ($0) = $1,778.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: CooperVision Inc. ($1,294).

Total Amount

$1,778

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,778

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2020-08-14

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
I20200814001752IOptometryNETBD

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
83861Microfluid analysis of tears14660$0
92014Established patient complete exam of visual system8368$0
92012Established patient problem focused exam of visual system5940$0
92250Photography of the retina3634$0
99213Established patient office or other outpatient visit, 20-29 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 68701)

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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: 9739135401View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JACKSON WESLEY KUBE (OD) in U.S. healthcare records?
The official identifier for JACKSON WESLEY KUBE (OD) is NPI 1255958070.
Would JACKSON WESLEY KUBE (OD) appear as active to a payer?
You can treat JACKSON WESLEY KUBE (OD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JACKSON WESLEY KUBE (OD)?
JACKSON WESLEY KUBE (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACKSON WESLEY KUBE (OD)?
Travel planning: use Norfolk, Nebraska as the reference point for JACKSON WESLEY KUBE (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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