JOHN J KUNSTLE (MD) – Family Medicine Physician, NPI 1104881978

JOHN J KUNSTLE (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0032772 (CO). The NPI Number for JOHN J KUNSTLE (MD) is 1104881978

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN J KUNSTLE (MD)
NPI
1104881978
Phone
(702) 579-3203
Address
PO BOX 35380
Enumeration Date
17 April 2006
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
7195700640
Graduation Year
1992 (34 years ago)
PAC ID
2264608108
Group Practice PAC ID
2769706431
Professional Enrollment ID
I20120220000962
Address ID
CO809222602CO6340XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

Provider Addresses for JOHN J KUNSTLE (MD)

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • 6340 BARNES RD

    COLORADO SPRINGS, CO 809222602

    Phone: (719) 522-1133

    Fax: (719) 570-0601

    Type: Location

  • 2, South Cascade Avenue, Colorado Springs, El Paso County, Colorado, 80903, United States

    SUITE 140

    COLORADO SPRINGS, CO 809031604

    Phone: (719) 538-2950

    Fax: (719) 538-2961

    Type: Mailing

  • Optum East Clinic, 6340, Barnes Road, Colorado Springs, El Paso County, Colorado, 80922, United States

    COLORADO SPRINGS, CO 80922

    Phone: (719) 522-1133

    Fax: (719) 380-8087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-02-20

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
I20120220000962IFamily PracticeCOTBD

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 minutes195118$0
99214Established patient office or other outpatient visit, 30-39 minutes13281$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
99212Established patient office or other outpatient visit, 10-19 minutes3530$0
G0008Administration of influenza virus vaccine2423$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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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: 2769706431View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JOHN J KUNSTLE (MD)?
The federal identifier for JOHN J KUNSTLE (MD) is NPI 1104881978.
Is JOHN J KUNSTLE (MD)'s NPI currently valid?
The extract we use shows JOHN J KUNSTLE (MD) as active.
What kind of provider is JOHN J KUNSTLE (MD)?
The page reflects Family Medicine Physician for JOHN J KUNSTLE (MD). Clinical services aligned with this taxonomy classification.
Where is JOHN J KUNSTLE (MD)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for JOHN J KUNSTLE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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