DR. ALLEN BRUCE JETMORE MD
NPI 1093725111
Specialist in Leawood, KS

Q: What is Allen Jetmore's NPI number?

The NPI number for Allen Jetmore is 1093725111. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Allen Jetmore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Allen Jetmore was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment

11111 NALL AVE, SUITE 116, LEAWOOD, KS 66211(913) 451-0600(913) 451-0601 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Allen Bruce Jetmore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALLEN BRUCE JETMORE MD (NPI 1093725111) is an individual specialist in Leawood, Kansas, licensed in Kansas (0424436) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Duke University School Of Medicine (1984).

NPPES Registry Identity

NPI1093725111

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ALLEN BRUCE JETMORECredential: MD

Location Address11111 NALL AVE, SUITE 116Leawood, KS 66211-1924

Mailing Address11111 Nall Ave, Suite 116Leawood, KS 66211-1924 · (913) 451-0600 · Fax (913) 451-0601

Phone(913) 451-0600

Fax(913) 451-0601

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1984

Enumeration DateAugust 9, 2006

Last NPPES UpdateAugust 29, 2011

✔ NPI 1093725111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KS · 0424436

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11111 NALL AVE, Leawood, KS 66211

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Other Identifiers 4

Medicare PINW30000004KS

Medicare PINKA1709001KS

Other18198056MO · Bcbs Of Kansas City

Medicare UPINF21357KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Allen Bruce Jetmore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971505041

PECOS Enrollment IDI20070202000474, I20091030000381

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Allen Jetmore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Hemorrhoid Treatment Center LLC

Same address

Specialist

11111 NALL AVE, SUITE 116
Leawood, KS 66211

Reassigned Medicare billing, Kansas enrollment
5 clinicians in this Medicare group

NPI 1538106448 (913) 451-0600

Ab Jetmore MD LLC

10 mi

Colon & Rectal Surgery

21106 W 95TH TER
Lenexa, KS 66220

Reassigned Medicare billing, Kansas and Missouri enrollments

NPI 1114258886 (913) 322-8859

Fort Healthcare Inc

411 mi

Rural Health

611 SHERMAN AVE E
Fort Atkinson, WI 53538

Reassigned Medicare billing, Wisconsin enrollment
298 clinicians in this Medicare group

NPI 1417450115 (920) 563-5571

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

312 services138 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

211 services182 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

123 services75 patients

Destruction of internal hemorrhoids using heat 46930

This procedure involves using heat to treat internal hemorrhoids. A specialized device generates heat to shrink the hemorrhoid, alleviating discomfort. It's a quick, minimally invasive process with a fast recovery time. It's a common, safe procedure for hemorrhoid relief.

66 services39 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

53 services46 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

48 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

48 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

41 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

34 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

19 services19 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

14 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

St Joseph Medical Center

Acute Care Hospitals · Kansas City, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260085

Location1000 Carondelet DrKansas City, MO 64114 · Jackson County

Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH LYNN CARLE PH.D.

Psychologist (Clinical)

11111 NALL AVE, SUITE 224
LEAWOOD, KS 66211

Johnson County (913) 549-4390

DR. STEVEN HENDLER M.D.

Physical Medicine & Rehabilitation

11111 NALL AVE, # 222
LEAWOOD, KS 66211

Johnson County (913) 338-5448

ELH NETWORK, LLC

Preferred Provider Organization

11111 NALL AVE, SUITE 220
LEAWOOD, KS 66211

Johnson County (913) 491-6984

MS. SHIRLEY WARING

Counselor (Mental Health)

11111 NALL AVE, SUITE 103
LEAWOOD, KS 66211

Johnson County (913) 710-2040

ANGELA GIEGERICH NP-C

Nurse Practitioner

11111 NALL AVE, SUITE 222
LEAWOOD, KS 66211

Johnson County (913) 338-5448

ILENE BETH GRUNSPAN LSCSW, CEAP

Social Worker (Clinical)

11111 NALL AVE, SUITE 103
LEAWOOD, KS 66211

Johnson County (913) 832-0366

SPECIAL CARE DENTAL OF KANSAS, LLC

Dentist

11111 NALL AVE, SUITE 100
LEAWOOD, KS 66211

Johnson County (502) 244-2441

SUZAN K COULTER LCMFT

Marriage & Family Therapist

11111 NALL AVE, SUITE 112
LEAWOOD, KS 66211

Johnson County (913) 593-9532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allen Jetmore's NPI number?

The NPI number for Allen Jetmore is 1093725111. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Allen Jetmore located?

Allen Jetmore practices at 11111 Nall Ave Suite 116, Leawood, KS 66211. The listed phone number is (913) 451-0600.

What is Allen Jetmore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Allen Jetmore enrolled in Medicare?

Yes. Allen Jetmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Allen Jetmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allen Jetmore reassigns Medicare benefits to 3 organizations: Midwest Hemorrhoid Treatment Center LLC (Leawood, KS), Ab Jetmore MD LLC (Lenexa, KS) and Fort Healthcare Inc (Fort Atkinson, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allen Jetmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allen Jetmore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Allen Jetmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Allen Jetmore affiliated with any hospitals?

According to CMS data, Allen Jetmore is affiliated with Adventhealth Shawnee Mission, Overland Park Reg Med Ctr, Menorah Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Allen Jetmore was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.