DAVID GUBERNICK (MD) – Allergy & Immunology Physician, NPI 1609259456

DAVID GUBERNICK (MD) is a healthcare provider. based in Columbia, Missouri. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. ME141702 (FL). The NPI Number for DAVID GUBERNICK (MD) is 1609259456

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DAVID GUBERNICK (MD)
NPI
1609259456
Phone
(573) 882-4438
Address
400 N KEENE ST
Enumeration Date
29 June 2015
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7275300700
Graduation Year
2015 (11 years ago)
PAC ID
8820305188
Group Practice PAC ID
6002993268
Professional Enrollment ID
I20210603000683
Address ID
FL337731812LA13145NXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

274 ALLERGY/IMMUNOLOGY in FL

Provider Addresses for DAVID GUBERNICK (MD)

  • 400 N KEENE ST

    COLUMBIA, MO 652016626

    Phone: (573) 882-4438

    Fax: (573) 884-9992

    Type: Mailing

  • 17 DAVIS BLVD STE 308

    TAMPA, FL 336063438

    Phone: (813) 974-2201

    Type: Location

  • 13145 66TH ST

    LARGO, FL 337731812

    Phone: (727) 530-0700

    Fax: (727) 530-0777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210603000683IAllergy/ImmunologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3416$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002993268View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YFL
A L L E R G Y/ I M M U N O L O G YFL

Reviews

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Frequently asked questions

Is there an official ID for DAVID GUBERNICK (MD) in U.S. healthcare records?
The official identifier for DAVID GUBERNICK (MD) is NPI 1609259456.
Is DAVID GUBERNICK (MD) shown as active in public data?
Registry records indicate DAVID GUBERNICK (MD) maintains an active NPI.
What expertise is attributed to DAVID GUBERNICK (MD)?
DAVID GUBERNICK (MD)'s specialty line reads Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Is DAVID GUBERNICK (MD) located near Columbia?
DAVID GUBERNICK (MD) currently maps to Columbia, Missouri in this extract.
When was this NPI issued?
Enumeration for DAVID GUBERNICK (MD) is noted as June 29, 2015 where the registry provides it.

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