DR. DOUGLAS CARL KUBEK (D.O.) – Sleep Medicine (Otolaryngology) Physician, NPI 1003903832
Sleep Medicine (Otolaryngology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for DR. DOUGLAS CARL KUBEK (D.O.)
Saint John Medical Center, Saint Clair Shores, 21000, East 12 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48081, United States
STE 111
SAINT CLAIR SHORES, MI 480811156
Phone: (586) 263-7400
Fax: (586) 326-3161
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $864.
Total Amount is formed as General ($864) + Research ($0) + Ownership ($0) = $864.
Last reported payment date: 2024-07-26 • Largest payer in this snapshot: Medtronic, Inc. ($438).
Total Amount
$864
General + Research + Ownership
Payments
6
Total payment records
General Amount
$864
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $438 |
| Acclarent, Inc | $171 |
| Integra LifeSciences Corporation | $131 |
| Regeneron Healthcare Solutions, Inc. | $125 |
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: 2008-05-21
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 |
|---|---|---|---|---|
| I20080521000862 | I | Otolaryngology | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 160 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 133 | 91 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 46 | $0 |
| 69210 | Removal of impacted ear wax | 43 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 48081)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | MI | 92540 | Observation, testing, and recording of abnormal eye movement | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | MI | |
| - | MI | |
| - | MI | |
| Infectious Disease | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| - | MI | |
| - | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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