OrganizationActive
Capital Region Medical Center
NPI 1104001676 · Family Medicine Physician · Jefferson City, MO
Provider details
- NPI number
- 1104001676
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tom Luebbering, Vp of Finance(573) 632-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
420 E High St
Jefferson City, MO 65101-3215
Phone: (573) 635-0916
Fax: (573) 635-8812
Street-level locationGet directions
Mailing address
420 E High St
Jefferson City, MO 65101-3215
Other names (DBA / former)
- Doing business as
- Capital Region Physicians - Family Medical Center
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2013-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.