LAWRENCE JEFFREY HUBACEK (M.D.) – Emergency Medicine Physician, NPI 1104853936
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
590 EMERGENCY MEDICINE in MS
Provider Addresses for LAWRENCE JEFFREY HUBACEK (M.D.)
PO BOX 23457
JACKSON, MS 392253457
Phone: (601) 200-6175
Fax: (601) 200-2020
Type: Mailing
969 Lakeland Dr
Jackson, MS 392164606
Phone: (601) 200-6175
Fax: (601) 200-2020
Type: Location
510 PINE HILL PL
FLOWOOD, MS 392328994
Phone: (769) 798-2921
Fax: (855) 866-6287
Type: Mailing
110A AIRPORT RD S STE A
PEARL, MS 392086698
Phone: (601) 936-2887
Fax: (855) 866-6287
Type: Location
Saint Dominic Hospital, 969, Lakeland Drive, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164606
Phone: (601) 200-6175
Fax: (601) 200-2020
Type: Location
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 $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Lilly USA, LLC ($58).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $58 |
| Currax Pharmaceuticals LLC | $15 |
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: 2004-08-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040827000553 | I | Emergency Medicine | MS | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 39 | 38 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 33 | 32 | $0 |
Insurance plans in this area (ZIP 39225)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | MS | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MS | |
| Emergency Medicine | MS | |
| Nurse Practitioner | MS | |
| Family Practice, Emergency Medicine | MS | |
| Emergency Medicine | LA | |
| Nurse Practitioner | MS | |
| Emergency Medicine | MS | |
| Emergency Medicine | AZ | |
| Nurse Practitioner | MS | |
| Emergency Medicine | MS |
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