JOHN P. LUBISICH (M.D.) – Diagnostic Radiology Physician, NPI 1194863902

JOHN P. LUBISICH (M.D.) is a healthcare provider. based in San diego, California. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 2000161496 (MO). The NPI Number for JOHN P. LUBISICH (M.D.) is 1194863902

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P. LUBISICH (M.D.)
NPI
1194863902
Phone
Not provided
Address
150 W WASHINGTON ST
Enumeration Date
2 February 2007
Last Update Date
12 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075632662
Graduation Year
1992 (34 years ago)
PAC ID
1557331816
Group Practice PAC ID
6709780265
Professional Enrollment ID
I20190805001342
Address ID
AK995085926AN4315XDRXX300

Contacts

Secure Messaging
imaging_healthcare_specialists@direct.sdhealthconnect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for JOHN P. LUBISICH (M.D.)

  • 150 W WASHINGTON ST

    SAN DIEGO, CA 921032005

    Phone:

    Type: Mailing

  • PO BOX 910027

    SAN DIEGO, CA 921910027

    Phone: (888) 727-1070

    Fax: (877) 883-5176

    Type: Mailing

  • 501, Washington Street, Hillcrest, San Diego, San Diego County, California, 92103, United States

    STE 510

    SAN DIEGO, CA 921032231

    Phone: (866) 558-4320

    Fax: (619) 294-8399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $390.

Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Inari Medical, Inc. ($348).

Total Amount

$390

General + Research + Ownership

Payments

4

Total payment records

General Amount

$390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20070625000459IDiagnostic RadiologyCATBD
I20190805001342IDiagnostic RadiologyTXTBD
I20200908001501IDiagnostic RadiologyAKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography353353$0
71045X-ray of chest, 1 view262246$0
77063Screening 3d breast mammography211211$0
71046X-ray of chest, 2 views9392$0
32555Aspiration of fluid from chest cavity using imaging guidance6121$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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Provider's Procedures

JOHN P. LUBISICH (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front497326
DIAGNOSTIC RADIOLOGYCA71250CT scan chest3232
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views5337
DIAGNOSTIC RADIOLOGYCA73630X-ray of foot, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709780265View full group profile
NameSpecialtyState
-AK
Anesthesiology, Pain ManagementTN
Internal MedicineNY
-AK
Nurse PractitionerAK
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YWA
Certified Nurse Midwife (Cnm)AK
-AK
Physician AssistantAK

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN P. LUBISICH (M.D.)?
JOHN P. LUBISICH (M.D.) — NPI 1194863902 — is the standard way to identify this listing.
Does the file indicate JOHN P. LUBISICH (M.D.) is practicing under active NPI?
Directory data currently reports JOHN P. LUBISICH (M.D.) as active.
What healthcare role does JOHN P. LUBISICH (M.D.) hold?
Scheduling teams often label JOHN P. LUBISICH (M.D.) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN P. LUBISICH (M.D.)?
JOHN P. LUBISICH (M.D.)'s geographic hint is San Diego, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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