NPIMap

Individual provider Active NPI

John D Tubbs, M.D.

  • Family Medicine Physician
  • Stuart, NE
National Provider Identifier
1104812270
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22198 Issued in NE
Practice address
110 W. 2ND St.
Stuart, NE 68780-0070
Phone
(402) 924-3777
Fax
(402) 924-3776
NPI assigned
Sep 23, 2005
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 22198 NE
Family Medicine Physician 207Q00000X 22198 NE Primary

Addresses

Primary practice location

110 W. 2ND St.
Stuart, NE 68780-0070

Mailing address

PO Box 377
Stuart, NE 68780-0377
Phone (402) 924-3777

Other practice location 1

101 E South St
Bassett, NE 68714-5508
Phone (402) 684-2285

Other practice location 2

418 E 5th St
Atkinson, NE 68713-4885
Phone (402) 925-2994

Other identifiers 2

IdentifierTypeStateIssuer
236735OtherNEMIDLANDS CHOICE
00187OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000659 NE Practitioner - Family PracticePractitioner - Emergency Medicine 5395638340 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

418 E 5TH St
Atkinson, NE 68713-4885
Phone (402) 925-2994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux12
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22198NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Holt Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
West Holt Memorial Hospital Multi-Specialty CurrentSince Oct 20, 2018 Accepting new patients
Rock County Hospital Current Accepting new patients
West Holt Memorial Hospital CurrentSince Oct 20, 2018 Accepting new patients
Greater Sandhills Family Healthcare, P.C. Past Accepting new patients
Stuart Village Nursing Home Board Parkside Manor of Stuart PastSince Jan 1, 2013 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

405 W Pearl St
Atkinson, NE 68713
Phone (402) 925-2631

406 W Neely St
Atkinson, NE 68713
Phone (402) 925-2811

102 E South St
Bassett, NE 68714
Phone (402) 684-2906

801 S State St
Bassett, NE 68714
Phone (402) 684-2730

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wstholt-d1685583

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parkside ManorStuart, NE, CCN 285245 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2013
Jan 1, 2013
StuartStuart, NE, CCN 283865 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer (100%)
W-2 Managing Employee (100%)		 Jul 14, 2007
Jul 23, 2007
Jul 14, 2007
Greater Sandhills Family Healthcare PCBassett, NE, CCN 283866 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)		 Jul 14, 2007
Jun 21, 2007
Jun 21, 2007
Jul 14, 2007
Greater Sandhills Family HealthcareAtkinson, NE, CCN 283867 Rural health clinic 5% Or Greater Direct Ownership Interest
W-2 Managing Employee (51%)		 Jul 14, 2007
Jul 14, 2007

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1104812270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800377",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W. 2ND ST.",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800070",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E South St",
            "address_purpose": "LOCATION",
            "city": "Bassett",
            "state": "NE",
            "postal_code": "687145508",
            "country_code": "US",
            "telephone_number": "402-684-2285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Atkinson",
            "state": "NE",
            "postal_code": "687134885",
            "country_code": "US",
            "telephone_number": "402-925-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-07-30",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NE",
            "license": "22198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "236735",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00187",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, NE

Sources for this page

Verify at the official NPI Registry.