DR. EDWARD WILLIAM KUBEK (MD) – Plastic Surgery Physician, NPI 1992906382
Plastic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. EDWARD WILLIAM KUBEK (MD)
1200 W WHITE RIVER BLVD
MUNCIE, IN 473034988
Phone: (877) 668-5621
Type: Mailing
200, North Tillotson Avenue, Muncie, Delaware County, Indiana, 47304, United States
MUNCIE, IN 473043988
Phone: (765) 751-1700
Fax: (765) 288-0468
Type: Mailing
East Clifty Drive, Madison, Jefferson County, Indiana, 47250, United States
MADISON, IN 47250
Phone: (812) 801-0840
Fax: (812) 801-0024
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $3,320.
Total Amount is formed as General ($3,320) + Research ($0) + Ownership ($0) = $3,320.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: TELA Bio, Inc. ($2,959).
Total Amount
$3,320
General + Research + Ownership
Payments
16
Total payment records
General Amount
$3,320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $2,959 |
| Davol Inc. | $253 |
| ABBVIE INC. | $108 |
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: 2017-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170322000667 | I | Plastic And Reconstructive Surgery | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 47303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nephrology, Internal Medicine | IN | |
| General Surgery | MI | |
| - | OH | |
| Family Practice | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | NC | |
| Infectious Disease, Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Clinical Social Worker | IN | |
| - | IN |
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