DR. JOHN M JR. WUBBENHORST (DO) – Psychiatry Physician, NPI 1295744605

DR. JOHN M JR. WUBBENHORST (DO) is a healthcare provider. based in Lees summit, Missouri. specializing in Psychiatry Physician. They hold the professional credentials DO. They hold a License No. 2004007620 (MO). The NPI Number for DR. JOHN M JR. WUBBENHORST (DO) is 1295744605

Main info

Male
Name
DR. JOHN M JR. WUBBENHORST (DO)
NPI
1295744605
Phone
(816) 246-8000
Address
901 NE INDEPENDENCE AVE
Enumeration Date
5 August 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN M JR. WUBBENHORST (DO)

  • Northeast Independence Avenue, Lee's Summit, Jackson County, Missouri, 64064, United States

    LEES SUMMIT, MO 640865544

    Phone: (816) 246-8000

    Fax: (816) 246-8207

    Type: Location

  • 28806, Southeast Moreland School Road, Blue Springs, Jackson County, Missouri, 64014, United States

    BLUE SPRINGS, MO 640146006

    Phone: (816) 229-4061

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $1,713.

Total Amount is formed as General ($1,713) + Research ($0) + Ownership ($0) = $1,713.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ITI, Inc. ($249).

Total Amount

$1,713

General + Research + Ownership

Payments

96

Total payment records

General Amount

$1,713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-05-18

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
I20040518000942IPsychiatryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64086)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What federal number belongs to DR. JOHN M JR. WUBBENHORST (DO)?
The federal identifier for DR. JOHN M JR. WUBBENHORST (DO) is NPI 1295744605.
Is DR. JOHN M JR. WUBBENHORST (DO)'s NPI currently valid?
The extract we use shows DR. JOHN M JR. WUBBENHORST (DO) as active.
What kind of provider is DR. JOHN M JR. WUBBENHORST (DO)?
The page reflects Psychiatry Physician for DR. JOHN M JR. WUBBENHORST (DO). Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN M JR. WUBBENHORST (DO)?
We surface Lees Summit, Missouri for DR. JOHN M JR. WUBBENHORST (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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