KELLY MARGARET KUBECK (PA-C) – Physician Assistant, NPI 1235656737
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Loading map...
Provider Addresses for KELLY MARGARET KUBECK (PA-C)
203, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States
TROY, MI 480841744
Phone: (248) 585-8271
Fax: (248) 585-8266
Type: Mailing
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone: (947) 522-1863
Fax: (947) 522-0307
Type: Mailing
William Beaumont Hospital (Troy campus), 44201, Dequindre Road, Troy, Macomb County, Michigan, 48085, United States
TROY, MI 480851117
Phone: (248) 964-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $384.
Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Baxter Healthcare ($316).
Total Amount
$384
General + Research + Ownership
Payments
6
Total payment records
General Amount
$384
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $316 |
| Hydrofera LLC | $68 |
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: 2017-09-19
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 |
|---|---|---|---|---|
| I20170919000388 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48084)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Psychologist | MI | |
| Orthopedic Surgery | MI | |
| - | MI | |
| Clinical Psychologist | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.