DR. RICHARD JOSEPH KUBICKA (M.D.) – Vascular Surgery Physician, NPI 1255369989
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 VASCULAR SURGERY in MN
Provider Addresses for DR. RICHARD JOSEPH KUBICKA (M.D.)
290 Main St NW
Suite 100
Elk River, MN 553301270
Phone: (763) 241-0373
Type: Location
9325, Upland Lane North, Maple Grove, Hennepin County, Minnesota, 55369, United States
SUITE 205
MAPLE GROVE, MN 553694470
Phone: (763) 416-0676
Fax: (763) 416-0476
Type: Mailing
290, Main Street Northwest, Elk River, Sherburne County, Minnesota, 55330, United States
SUITE 100
ELK RIVER, MN 553301270
Phone: (763) 241-0373
Type: Location
919 NORTHLAND DR
PRINCETON, MN 553712172
Phone: (763) 389-3344
Type: Location
1700 UNIVERSITY AVE W
SAINT PAUL, MN 551043727
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $870.
Total Amount is formed as General ($870) + Research ($0) + Ownership ($0) = $870.
Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($870).
Total Amount
$870
General + Research + Ownership
Payments
5
Total payment records
General Amount
$870
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $870 |
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: 2004-12-16
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 |
|---|---|---|---|---|
| I20041216000623 | I | Vascular Surgery | MN | 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 | 37 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | 12 | $0 |
Insurance plans in this area (ZIP 55330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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