Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lucas Samuel Tebbe, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1417519257

Dr. Lucas Samuel Tebbe, DPM is a Podiatry in Kansas City, Missouri. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2019, 7 years ago. Practices with Shoal Creek Foot and Ankle Center LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MO
In the registry since
2019
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone: (816) 404-9597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2019024623 (MO)

Record details

NPI number1417519257
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2019 (7 years in practice)
Group practice Shoal Creek Foot And Ankle Center Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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