DR. LEZLIE RENE KUEBKER (M.D.) – Diagnostic Radiology Physician, NPI 1336130251

DR. LEZLIE RENE KUEBKER (M.D.) is a healthcare provider. based in Lackland afb, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. N1951 (TX). The NPI Number for DR. LEZLIE RENE KUEBKER (M.D.) is 1336130251

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEZLIE RENE KUEBKER (M.D.)
NPI
1336130251
Phone
(210) 292-5282
Address
2200 BERGQUIST DRIVE, STE 1
Enumeration Date
31 October 2005
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
2708876852
Graduation Year
2003 (23 years ago)
PAC ID
1759435662
Group Practice PAC ID
6507830692
Professional Enrollment ID
I20211014003152
Address ID
KY422401965HO320XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DR. LEZLIE RENE KUEBKER (M.D.)

  • 2200 BERGQUIST DRIVE, STE 1

    WILFORD HALL MEDICAL CENTER, 59TH MEDICAL WING

    LACKLAND AFB, TX 782369908

    Phone: (210) 292-5282

    Type: Location

  • 215 W 17TH ST

    HOPKINSVILLE, KY 422401911

    Phone: (270) 885-3414

    Fax: (270) 885-7631

    Type: Location

  • 13114, Regency Forest, Woodthorn, San Antonio, Bexar County, Texas, 78249, United States

    SAN ANTONIO, TX 782494848

    Phone: (210) 561-5669

    Type: Mailing

  • PO BOX 595

    HOPKINSVILLE, KY 422410595

    Phone: (210) 561-5669

    Type: Mailing

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: 2021-10-14

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
I20211014003152IDiagnostic RadiologyKYTBD

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
71045X-ray of chest, 1 view211174$0
71046X-ray of chest, 2 views5151$0
70450Ct scan head or brain without contrast4040$0
77080Dxa bone density measurement of hip, pelvis, spine3131$0
74018X-ray of abdomen, 1 view3028$0
View full utilization report →

Insurance plans in this area (ZIP 78236)

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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: 6507830692View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyKY

Reviews

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Frequently asked questions

What is DR. LEZLIE RENE KUEBKER (M.D.)'s NPI number?
DR. LEZLIE RENE KUEBKER (M.D.)'s NPI is 1336130251 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. LEZLIE RENE KUEBKER (M.D.)?
You should see DR. LEZLIE RENE KUEBKER (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. LEZLIE RENE KUEBKER (M.D.)?
DR. LEZLIE RENE KUEBKER (M.D.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LEZLIE RENE KUEBKER (M.D.)?
Travel planning: use Lackland Afb, Texas as the reference point for DR. LEZLIE RENE KUEBKER (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. LEZLIE RENE KUEBKER (M.D.) is noted as October 31, 2005 where the registry provides it.

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