DR. DAVID J KOUBA (MD) – Dermatology Physician, NPI 1073561866
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for DR. DAVID J KOUBA (MD)
106 S Lafayette St
South Lyon, MI 481781404
Phone: (947) 348-1176
Type: Location
1100 W Main St
Woodville, OH 434699723
Phone: (419) 724-5820
Type: Location
7301 Secor Rd
Lambertville, MI 481449737
Phone: (419) 479-5795
Type: Location
1070 N Shoop Ave
Wauseon, OH 435671821
Phone: (419) 330-5200
Type: Location
341 Trenton Ave
Findlay, OH 458403745
Phone: (567) 250-8212
Type: Location
1136 Country Club Rd Unit C
Adrian, MI 492218209
Phone: (517) 366-5110
Type: Location
675 Cooper St
Monroe, MI 481611676
Phone: (419) 479-5791
Fax: (734) 568-6352
Type: Location
417 4th St
Defiance, OH 435122605
Phone: (419) 785-4660
Type: Location
1090 N SHOOP AVE
WAUSEON, OH 435671821
Phone: (419) 330-5200
Type: Location
4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States
TOLEDO, OH 43623
Phone:
Type: Mailing
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 $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($44).
Total Amount
$82
General + Research + Ownership
Payments
4
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kyowa Kirin, Inc. | $44 |
| Regeneron Healthcare Solutions, Inc. | $25 |
| Kerecis Limited | $14 |
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: 2008-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070823000469 | I | Dermatology | MI | TBD |
| I20080303000092 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4,927 | 1,942 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 1,266 | 686 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1,246 | 830 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 1,053 | 39 | $0 |
| Q4158 | Kerecis omega3, per square centimeter | 948 | 35 | $0 |
Insurance plans in this area (ZIP 48178)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 11101 | Biopsy of each additional growth of skin and/or tissue | 94 | 56 |
| DERMATOLOGY | OH | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 222 | 197 |
| DERMATOLOGY | OH | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 25 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | OH |
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